Comprehensive Certification Course

The Comprehensive Certification Course
Part I  1 week:  
Anatomy, Physiology, Pathophysiology of Lymphatic system; Evaluation, documentation,  patient education on skin care and precautions, measuring for off-the-shelf garments
Part II   2 weeks: 
Treatment of lymphedema, all body parts, variety of etiologies:  MLD, compression wrapping, decongestive exercises,  teaching and adapting  home programs, measuring for custom garments and night options

The therapist is not certified until successful completion of  both part I and II, for the full 135 hours of training.

The course is an intensive 135 hour course, meeting the standards set by LANA (Lymphology Association of North America) and leading to full certification as a Casley-Smith Lymphedema Therapist (CSLT).

*It includes pre-course reading and study guide; lectures, labs, and practice with actual patients. (See below for a list of topics covered under theory and a list of the skills that are taught.)

*A highlight of the Atlanta area courses is a trip to a factory that manufactures compression garments.

The Instructor
DeCourcy Squire, PT, CLT-LANA, CI-CS, is a physical therapist who has been treating lymphedema for over 15 years.
*She has studied at the Foldi Clinic in Germany and with Judith and John Casley-Smith in Australia. She is one of two certified instructors in the Casley-Smith method in the US and has been teaching the Casley-Smith method since 1999.
*She has been a workshop leader or moderator at  5 National Lymphedema Network (NLN) Conferences, is active with the Lighthouse Lymphedema Network in Atlanta, is convener of the Lymphedema Roundtable for lymphedema therapists in the Atlanta/Southeast area, and has been a consultant for NLN and the Lymphoedema Association of Australia, answering questions by email from people with lymphedema problems.
*She helped develop lymphedema programs in Nebraska and Minnesota before moving to Atlanta, and has taught community workers in Haiti about recognizing and treating filarial lymphedema.
*She currently works with the Lymphedema Program at Piedmont Hospital in Atlanta.

Eligibility to Take the Course

*Physical therapists, occupational therapists, physicians, physician assistants, nurses, and nurse practitioners are eligible to take the course.
*Physical therapy assistants and certified occupational therapy assistants are eligible if they will be working with a supervising therapist who is also fully certified in lymphedema therapy.
*Massage therapists are eligible to take the course if they have completed 500 hours of training as a massage therapist at an accredited school, are certified and/or licensed in the state in which they practice, and have a bachelors degree from an accredited college or university with course work that includes at least 12 credit hours  in human anatomy, physiology, and/or pathophysiology [192 clock hours].

Cost of the course: $2500; if paid separately, Part I is $1000 and Part II is $2000.
A $500 deposit will hold your place (of which $200 is refundable if you have to cancel).

Housing information, directions, and the pre-course study guide are sent when the initial deposit is sent in.

Suggested Things to Bring to the Course

–Pre-test, which is sent to you in advance, along with the pre-course study guide
–Two towels
–Bag to hold bandaging materials
–Optional: Scissors, masking tape, washable markers, eyeliner, flash drive, camera
–Lab clothes that allow full access to whole limb for measuring or bandaging (arm and leg)
–MLD clothes that allow uninterrupted access to the back (suggested: halter top that unhooks or hospital gown)

If you have more questions about the comprehensive certification course, click here.

Topics Covered under Theory:
Brief historical overview
Starlings Equation applied to lymphatic system
Lymph circulation
Lymphotomes and drainage patterns
Anatomy and physiology of lymphatic system
Pathophysiology of edemas
Etiologies of lymphedema
–post-surgical and/or post-radiation
–peri-wound edema
Staging lymphedema
Diagnosis and evaluation
Treatment approaches
–drugs and herbs
–Complex Lymphatic Therapy
Compression Wrapping
Decongestive Exercises/Pool programs
Skin care and precautions
Home management
Applying the techniques to conditions other than lymphedema
Current research updates
–and more…..

Skill Areas Covered:

Evaluation of patients with lymphedema
*Girth measurements
*Volume measurements
*Tissue texture
*History taking

Manual Lymphatic Drainage
*For swollen arm (post-mastectomy, bilateral, post trauma, post-op, other)
*For swollen leg (primary, secondary, venous, filariasis, bilateral, post-trauma, post-op, other)
*For swollen trunk or genital region
*For swollen face (post-surgical/radiation, primary, post-trauma)

Scar management/dealing with fibrosis
*Special strokes
*Anti-fibrosis pads

Gradient compression bandaging

Lymphedema exercises

Compression garments
*Certification in measuring and fitting
*Making recommendations re: style, material, and &
*Donning, doffing, care, troubleshooting

Skin care

Teaching of precautions/activity modification

Instruction of patients/family members in home program/self-care

Documentation and billing codes

Setting up a clinic