Obese patient with lymphedema to legs

[coco3299]

So the long story short is I have an obese pt who continues to insist she was told in home lymphedema therapy is available for her. I am home health nurse and we only do compression for wounds and then pt is offered long term option such as compression socks they can manage alone but we dont do long term swelling management only heal wounds. So my question is 1. Does Lymphedema ever go away? What is long term goal for pt with lymphedema? 2. Is home health used in such situations, again she is morbidly obese and I think this is her main problem rather than lymphedema. 3. How could this pt even have ABI? 4. I am not even sure her large legs could be compressed if her ABI was satisfactory. 5. She has no caregiver and 5. Cannot go to outpatient clinic but primary MD is frustrated with her and MD has offered to write orders if home health can assist. I have discussed with CWOC over phone but went back to order joint visit but over phone she stated this would be unlikely for pt and Lymphedema is usually managed by clinic where pt is seen often not home health where the pt only sees MD sometimes once a year. Pt even states clinic did indeed tell her this about being able to ambulate to clinic often but again she says they told her home health can do this but offered her no company names which lead me to believe she is fibbing and refusing to accept responsibility for her obesity.