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The Use of OlivamineTM-Containing Skin Care Products* For Morbidly Obese Patients With Lymphedema

Carol Paustian, RN, BSN, ET/CWOCN, DAPWCA, WOCN Consulting, Director, 3406 South 43rd Street, Omaha, NE 68105 and Jane Fore, MD, CWS, FAPWCA, Lewis-Clark Wound Care Clinic, Director, 1119 Highland, Suite 3, Lewiston WA, WA 99403.

Lymphedema is the accumulation of lymphatic fluid in the interstitial tissue, causing swelling. Lymphedema can develop when lymphatic vessels are missing or impaired; or when lymph nodes removed, such as during surgery for cancer. It may develop as a result of surgery, radiation, infection or trauma. Lymphedema may be caused by the weight of a fat apron, the excessive pressure congesting the lymph and blood vessels of the lower abdomen. Patients will note swelling, darkened skin, hardening and thickened abdominal tissue, dryness, fissures, itching, pain, and development of warty growths or ‘papillomatosis'. They may note development of ulcers in the skin folds and in traumatized areas, and inability to get ulcers in the damaged skin to heal.

In our clinic, we see a number of morbidly obese patients with lymphedema of the fat apron. They all report dry, itchy, scaley, painful skin. Clinically, they present with indurated, congested skin, with varying degrees of peau ‘de orange and papillomatosis. This firm, but delicate skin is prone to injury and ulceration, particularly in the creases and around the papillomas. We have found success with the consistent use of OlivamineTM containing skin care products.

The line of products we use contain OlivamineTM, a blend of ingredients including antioxidants, amino acids, vitamins, and methylsulfonylmethane. These ingredients help to nourish skin with everything it needs to atttain and maintain health. These products soothe the pain and itching, promotes healthy skin at the edge of wounds and ulcerations, thus promoting a healthy epithelial edge for improved wound healing.

We will continue to utilize OlivamineTM-containing skin care products in our clinic to promote healthy skin, to reduce the risk of skin fold sores and ulceration, and improve quality of life.

*Remedy Advanced Skin Care, from Medline Industries, Inc. The support of Medline Industries, Inc. is gratefully acknowledged


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