Lymphedema Certification and Online Education

Klose Ups

What is the appropriate dosing of CDT?

Watch Video HERE! Guenter Klose responds to a recent article addressing the appropriate dosing of Complete Decongestive Therapy (CDT) for lymphedema patients and shares his own personal experiences on the topic.

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Saskia Thiadens Honored

Watch Video HERE! During the Klose Lymphedema Conference in Denver, Colorado in May, 2017, Saskia R. J. Thiadens, RN, was honored for her tireless advocacy on behalf of individuals living with lymphedema and other lymphatic disorders.

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Lipedema & Keto Worldwide Summit 2017

Announcing the Lipedema and Keto Worldwide Summit, a FREE livestream event on April 19-26, 2017!

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LLIS Update

Developer Jan Weiss has worked diligently to establish what change in a patient’s LLIS scores is actually statistically significant. The psychometrics are as follows: MCID (minimal clinically important difference) is 7.31 and MDC95 (minimal detectable change) is 11.53. This means that if your patient scores more than 7 points better from their pre- to post-treatment LLIS scores, there has been clinically-significant improvement.

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ICD-10 Coding Conversion

The conversion from ICD-9 to ICD-10 coding is likely to cause confusion for all health care professionals involved in lymphedema care. In this link, ICD-10-CM Expansions of Lymphedema Diagnostic Codes, you’ll find a helpful conversion list that was compiled by LymphActivist Robert Weiss, M.S.

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Assistance with G Code Determination

In 2013, the Centers for Medicare and Medicaid (CSM) mandated the use of functional limitation reporting for documentation as a means to base treatment, set goals, and substantiate third-party payment. The selection of appropriate “G” code for patients being treated for lymphedema can be difficult, especially when the individual’s functional level is normal or high. Assistance with documentation can be found using a reference, the International Classification of Functioning, Disability and Health (ICF)1, originating from a document developed by the World Health Organization (WHO) in 1980.

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Self-MLD Instructional DVD

In this instructional video, Vicki Ralph, MPPA, OTR/L, CLT-LANA, demonstrates Self-MLD techniques while providing clear verbal instruction. Vicki has been involved for nearly a decade in educating patients with lymphedema on ways to self-manage the swelling related to their condition. Self-MLD can help decrease pain and improve their range of motion, mobility, and activities of daily living.

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Lymphedema and Obesity, Part I

The incidence of obesity has been on a stunning and rapid rise in the United States, as well as globally, for the last thirty to forty years. The public health impact is significant. Links between obesity and many indicators of poor health, most notably cardiovascular disease, Type 2 diabetes, and some types of cancer, are well established. Because of the unique interrelationship between the lymphatic system and adipose tissue, the implications for individuals with, or at risk for, lymphedema are profound.

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Lymphedema and Obesity, Part II

It has been well established in the literature, as well as in clinical practice, the profound effect that obesity has on lymphedema. Obesity places significant additional challenges for self-management of lymphedema on an already labor-intensive chronic condition. Many lymphedema clinics are experiencing the regular return of patients with obesity and lymphedema for repeated courses of treatment.

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To Pump or Not to Pump…

Pneumatic Compression Devices (PCDs), a.k.a. “pumps,” have been utilized in the treatment of lymphedema since the early 1950’s. The initial devices used single-chamber pressure cuffs that applied a uniform level of compression to the entire limb. “New generation” PCDs use improved technology and are equipped with multiple chambers which provide calibrated, gradient-sequential inflation.

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Contact Info

Klose Training & Consulting, LLC
307 S. Public Road,
Lafayette, CO 80026

Phone: 303-245-0333
Fax: 303-245-0334


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