Food preparation can adversly affect the health of lymphoedema patients, such as in the following situations:

1. Prolonged standing or sitting results in pooling of blood in legs and
   increased interstitial fluid leakage;

2. Vigorous repetitive movements against resistance such as scrubbing
   increase blood and lymphatic flow to the affected are; and

3. Tasks that require excessive bending or reaching, such as accessing items on high shelves or lifting heavy pots, are painful and fatiguing.

Cook ergonomically:

• Use lightweight pots and pans;

• Use adaptive cooking tools designed for easy gripping such as ergonomic knives and jar openers;

• Store pantry items, spices, and dishes within easy reach;

• Adjust countertops and work surfaces to a comfortable height;

• Organize frequently used kitchen utensils, cookware, and cleaning supplies in accessible cabinets or drawers, such as with roll-out shelves;

• Use a footrest or anti-fatigue mat;

• Sit while cooking -- use an adjustable-height stool ;

• Maintain proper posture while cooking, and take breaks to stretch and relax your muscles; and

• Engage in food preparation activities at times of day when you feel stronger. If necessary, distribute those tasks throughout the day.

Cook efficiently:

• Choose recipes that require less manual effort, such as one-pot meals, slow-cooker dishes, or sheet pan dinners – or adapt recipes to reduce the amount of effort;

• Batch cook and freeze ingredients such as rice – or entire meals;

• Plan meals ahead of time that use surplus ingredients prepared earlier in the week or batch-cooked ingredients;

• Purchase pre-prepared whole food ingredients such as chicken parts and pre-cut salads and frozen vegetables; and

• Use cooking tools that make food preparation faster and easier such as an electric can opener, immersion blender, and mini-chopper (small food processor).

Cook and clean safely:

• Maintain a clutter-free environment;

• Wear cooking and cleaning gloves to protect your skin; and

• Avoid touching very hot or cold foods, liquids, or surfaces.