here - Atlantic Clinical Lymphedema Network

Atlantic Clinical
Lymphedema Network
Fall 2012
Therapist making a difference in Newfoundland
Teresene Walsh-Oakley is a Registered Massage Therapist (RMT), who
specializes in Complete Decongestive Therapy / Manual Lymph Drainage
(CDT/MLD), and Myo-Fascial/Scar Tissue release. Her clinic, Pro-Motion
Therapeutic Services, is a private practice situated in the New World
Fitness Building on Topsail Road in St. John’s, NL. Teresene (Terry) has
been a practicing massage therapist since 1999 and a lymphedema
therapist since 2004. She is a member of the ACLN (Atlantic Clinical
Lymphedema Network), LAO (Lymphedema Association of Ontario),
Board Member of NLMTA (NL Massage Therapy Association), CMTA
(Canadian Massage Therapy Alliance), and participant in the local
Lymphedema Support Group in St. John’s. She is a certified fitter for
compression garments, and a certified personal trainer.
The CDT/MLD portion of her practice encompasses approximately 50% of
the therapy provided to patients. Being the only private practicing
lymphedema therapist in the area, Terry consults and works very closely
with lymphedema nurse coordinators and therapists throughout Atlantic
Canada but especially with colleagues at the Dr. H. Bliss Murphy Cancer
Clinic at the Health Science Center in St. John’s. Lymphedema patients
are referred through nurse coordinators, physiotherapists, and various
doctors for treatment of both primary and secondary symptoms of
lymphedema. Terry encourages every patient she works with, provides
education, and teaches self management techniques for lymphedema.
It has been Terry’s experience that most patients who present with
lymphedema symptoms will have Myo-fascial restrictions and/or scartissue as well. Her primary goal for each and every patient is to provide
empowerment, education, and encouragement before, during, and
especially after each treatment. This promotes a positive experience and
enhances quality of life. It truly is a treatment that has a lasting effect
on the patient.
For additional information, contact Terry at
Pro-Motion Therapeutic Services
Telephone: 709-747-7766
e-mail: tad.oakley@nf.sympatico.ca
ACLN - page 1
Atlantic Clinical Lymphedema Network
Fall 2012
Lymphedema Surveillance
For lymphedema therapists, it is common
knowledge that it is easier to treat
lymphedema (LE) that is caught in the
beginning phase rather than later after it has
progressed.
In a randomized controlled trial, Stout (2008)
found LE that was identified early through
surveillance programs could be well managed
and sometimes reversed.(1)
A lymphedema surveillance program is one
which identifies the individuals who are at risk
of developing LE and follows them at regular
intervals, in an attempt to recognize early
signs and symptoms of swelling. Ideally, presurgical measures should be available at
standard anatomical landmarks so that the
individual’s (lymphatic normal) baseline arm
measurements and weight are recorded.
More women are surviving breast cancer and
awareness of breast cancer survivorship
issues are increasing. Common impairments
and functional limitations due to breast cancer
treatment include upper extremity motion
restriction, fatigue, weight gain, pain, and
chemotherapy-induced peripheral neuropathy,
as well as lymphedema.
Recently in April 2012, a supplement to the
journal “Cancer” was published addressing the
common impairments that often follow breast
cancer treatment. “Supplement: A Prospective
Surveillance Model for Rehabilitation for
Women With Breast Cancer” includes sixteen
articles written by various prominent North
American breast cancer researchers.(2) These
articles outline the prospective surveillance
model, recommend it and discuss
implementation strategies as well as patient
perspectives.
We are fortunate in Saint John, NB to have
had a formal breast cancer rehabilitation
program for the past three and a half years
with lymphedema surveillance as an integral
part. Thanks to a grant from the CBCF,
education sessions about this type of breast
cancer rehab program will be given in four
different New Brunswick cities this fall.
References
1. Stout Gergich NL, Pfalzer LA, McGarvey C, Springer B,
Gerber LH, Soballe P. Preoperative assessment enables
the early diagnosis and successful treatment of
lymphedema. Cancer. 2008; 112: 2809-2819.
2. Kathryn H. Schmitz, Nicole L. Stout, Kimberly
Andrews, Jill M. Binkley and Robert A. Smith et al.
Supplement: A Prospective Surveillance Model for
Rehabilitation for Women With Breast Cancer. Cancer.
2012;118; S8; 2187–2333.
Andrea Tilley, PT CDT
St. John, NB
Lymphedema Care Program,
Capital Health, Hailfax, NS
The Lymphedema Care program at Capital
District Health Authority is located in the
Rehab Services Department in the Dickson
Building of Victoria General Hospital Site. The
client services are provided by an occupational
therapist and a physiotherapist who both have
certification training in Complex Lymphedema
Therapy. This is a multi-faceted program that
offers education for those at risk of developing
lymphedema; acts as a triage/liaison service
for those who wish to access treatment in
other parts of the province; and provides
treatment to clients experiencing
lymphedema.
Once a month, an education and screening
session is offered to women who have had a
diagnosis of breast cancer and are at risk of
developing lymphedema post surgery and
radiotherapy treatments.
Clients are also seen on an individual basis
that have lymphedema as a result of cancer
for assessment and treatment.
Assessment and consultative services are
offered to clients/family/physicians regarding
lymphedema that is not related to a diagnosis
of cancer.
Audrey Deveaux, PT
Leanne Beaton, BSc OT
Halifax, NS
ACLN - page 2
Atlantic Clinical Lymphedema Network
Fall 2012
We are ready to meet your
Mobile Medical
home healthcare needs with a full
range of products and services.
Mastectomy Products
Compression Products
Shoppers Drug Mart
3430 Joseph Howe Drive
In home fitting and delivery
at no extra charge
Phone: 1(506)738-2351 or 1(800)830-1611
Cell: 1(506)636-1450 Fax:1(506)217-0211
Halifax, NS
Ph: (902) 443-6084
Fax: (902) 443-6294
Email: hsdm138@shoppersdrugmart.ca
Carmel Sullivan
Owner/Operator
Email: thesullivans@rogers.com
Contact the ACLN
Shannon Andersen
shannon.andersen@cehha.nshealth.ca
(902) 893-5554 ext 2198
ACLN - page 3
Certified Lymphedema Therapists in Atlantic Canada
Nova Scotia
Shannon Andersen PT
Colchester East-Hants, NS
902-893-5554 ext 2198
shannon.andersen@cehha.nshealth.ca
Brenda Baxendale BSc, OT
Sydney, NS
902-567-8000 ext 2265
baxendaleb@cbdha.nshealth.ca
Leanne Beaton BSc, OT
Halifax, NS, 902-472-2151
Leanne.beaton@cdha.nshealth.ca
Heather Lowe MSc, OT
Yarmouth, NS
902 742-3542 ext.1288
HLowe@swndha.nshealth.ca
Sandra MacDonald RMT, CDT
Halifax, NS
902-421-7549
aj244@chebucto@ns.ca
Natalie Parker PT
Colchester East-Hants, NS
902-893-5520
Natalie.Parker@cehha.
nshealth.ca
Fall 2012
Manon Tardif PT, CDT
Campbellton, NB, 506-789-5017
Manon.Tardif@vitalitenb.ca
Andrea Tilley PT, CDT
St. Joseph’s Hospital, St. John, NB
506-632-5510
andrea.tilley@horizonnb.ca
Linda Savoie PT CDT
Tracadie-Sheila, NB
506-394-3004
linda.savoie2@vitalitenb.ca
PEI
Alanna Saulnier PT, CDT
Dept. of Physical Medicine
Charlottetown, PEI
902-894-2062, ajsaulnier@ihis.org
Natalie Bourque PT
Yarmouth, NS
902 742-3542 ext.1154
NBourque@swndha.nshealth.ca
Julie Skaling PT, CDT
Kentville, NS, 902-678-3422
juliesphysio@hotmail.com
Audrey Deveaux PT
Halifax, NS, 902-473-2151
Audrey.deveaux@cdha.
nshealth.ca
New Brunswick
Tammy Betts PT, CDT
Moncton, NB
506-857-5326
Tammy.Betts@horizonnb.ca
Newfoundland
Heather Buckle PT, CDT
Sophie Doiron PT, CDT
Moncton, NB
506-862-4100
sophie.doiron@vitalitenb.ca
Beverly Lanning RN, CLT-LANA
Regional Lymphedema Nurse
Central Heath, NL
709-489-4418
bev.lanning@centralhealth.nl.ca
Jackie Devoe PT
Sydney, NS
902-567-8000 ext 2196
devoej@cbdha.nshealth.ca
Dana Harrison RMT, CDT
Kentville, NS, 902-687-3422
contact@juliephysio.com
Christine Johnston PT
Truro, NS
902-893-5554 ext 2210
christine.johnston@cehha.nshealth
Amilyn Kearney BSc,RMT,CLT
Sydney NS, 902-539-1218
www.belisanasprings.ca
Ramona Kieser BHSc,PT, CDT
Sackville, NB, 506-536-8081
rkieser@nbnet.nb.ca
Myrna King BSc, OT
Halifax, NS 902-473-1257
Myrna.king@cdha.nshealth.ca
Louise Godin PT, CDT
Moncton, NB
506-862-4100
Louise.godin@vitalitenb.ca
Nathalie Hache PT, CDT
Lameque, NB
506-344-3419
nathalie.hache@vitalitenb.ca
Nicole Hache PT, CDT
Caraquet, NB
506-726-2275
nicole.hache@vitalitenb.ca
Marie-Andree Legere PT, CDT
Fredericton, NB
506-452-5239
marieandree.legere@horizonnb.ca
Health & Performance, Corner Brook, NL
709-632-2266
heather@healthandperformance.ca
Ingrid Lindner RMT, CDT
Labrador Massage Therapy Clinic
Goose Bay, NL, 709-896-3843
lindner@nf.sympatico.ca
Janet Montevecchi RNBN, CDT
Breast Screening Centre, St. John’s, NL
709-752-3626
janet.montevecchi@easternhealth.ca
Donna Parsons RNNP, CDT
Dr. Charles LeGrow Health Centre
Port Aux Basque, NL, 709-695-4500
Jean Ann Ryan RNBN, CDT
DHBMCC, St. John’s, NL
709-777-8713
jeanann.ryan@easternhealth.ca
postureperfectmassage@gmail.com
Laine MacKinley PT, CDT
St. John, NB
506-648-7981
laine.mackinley@horizonnb.ca
Martina Reddick RN, CDT
DHBMCC, St. John’s, NL
709-777-8713
Kimberley Lombard MSc, OT
Shelburne, NS
902-875-4144 ext.284
Klombard@swndha.nshealth.ca
Tara Mann PT, CDT
Moncton, NB
506-857-5326
tara.mann@horizonnb.ca
Teresene Walsh Oakley RMT, CDT
Pro Motion Therapeutic Services
St. John’s,NL, 709-747-7766
Cynthia Lohnes-Ferrolino BSc,RMT
Chester, NS
902-275-8089
ACLN - page 4
martina.reddick@easternhealth.ca
tad.oakley@nf.sympatico.ca