Some may have regular lengths that cover only some affected area. Sometimes called compression bandages, these wraps are used for treating different ailments or injuries, Good wound care using compression wraps will help to heal most small venous ulcers in the shortest possible time. sit or stand to apply your wrap. Compression What are the alternatives? Traditional compression stockings use static compression to improve your circulation. The overall effect is less bulky; even at greater stretch on application, patients find it comfortable and non-constricting. Multiple types of compression wraps are available for use in wound clinics. While the wrap is at the top of your foot, circle it around your ankle, then cross it back to the opposite side of the foot. Patient education is vital when compression therapy is used. Leg ulcers, obesity, edema, varicose veins, and lymphedema can be treated with compression bandages, but also with compression stockings. Use tension wraps to hold your dressings in place. Depending on the product of compression wraps you are using, you can apply compression wraps in one, two, three, or even four layers. Garment length - Air compression leg massagers attach to specific garments to deliver the therapy. For example, a construction or landscape worker likely would be challenged to wear a wrap for a full week due to perspiration and potential for external soiling. A critical success factor is whether the patient will wear the wrap for the prescribed length-of-time and maximize the therapy. There are different types of liners and wrap compression systems available. Mr. RU Swollen is referred to your clinic from his primary care provider. Just like other compression garments, compression wraps come in different compression ranges including 15-25, 20-30, 25-35, and 30-40 mmHg. Afterwards, fasten the hook in order to prevent the wraps from getting tangled. uncomfortable, When your legs or toes tingle or feel numb, If bad smells start emanating from the wrap, You notice that the temperature or color of your This will keep it looking great. Devices designed to keep dressings and casts dry have the added benefit of a non-slip surface at the foot. Although comparatively expensive, they are reusable and washable. These short stretch garments can take the place of the conventional bandages with multiple layers. Some people add them to their first aid kits to use as a staple during first aid procedures. You may have to wear them for about a week, although there are cases that may require that you change them more often. Examples: DYNA-FLEX (J&J, Somerville, NJ ), Profore, Proguide (Smith and Nephew, Largo, Fla), and Coban 2 Layer (3M, St. Paul, Minn). These types of socks come in a variety of compressions from mild to heavy pressure. (See Figure 10). Examples: Viscopaste (Smith and Nephew, Largo, Fla) and Unna-Flex (Convatec, Skillman, NJ) (See Figure 4). These devices are easier to apply, are durable, and therefore may be more cost effective than stockings. Always have a contingency plan. Problems with wraps. (See Figure 3). Only a comprehensive patient history and assessment will determine if he should receive compression and, if so, the type of compression treatment and the length-of-time for the treatment verses support. from lint. layer in circles. This design makes it easy to adjust the wraps at any time. Additionally, the use of foam dressings to pad areas such as the anterior ankle and tibial areas, Achilles tendon, and metatarsal heads can provide protection and an added level of comfort. If you are using it on low heat to dry. Provided in pre-packaged kits, multilayer wraps include a soft cotton padding as a skin-side layer that helps absorb skin moisture, provide padding to bony prominences, and add bulk and padding to the ankle, around the heel, and at the post-tibial area, helping to equalize the pressures exerted by the elastic layers. These can provide safe ambulation and foot protection and can last for the entire episode of care. If you are active when wearing compression wraps, you will enjoy higher working compression. Most brands are available premarked with guides to indicate the appropriate amount of stretch. A barrier ointment such as Calmoseptine®(Calmoceptine, Inc. Huntington Beach, Calif) for protection or Xenaderm® (Healthpoint, Fort Worth, Tex) can be applied before the dressing and the wrap. Patients with lymphedema ideally should have been seen and treated by a clinician trained in manual lymphatic drainage (MLD) and complete decongestive therapy (CDT), a certified CLT-LANA therapist. This will cause the cotton layer to stick and reduce slippage. Moisture-related skin damage. The Overall Picture Through appropriate clinical testing, the root cause of the edema must be determined. You have to avoid having wrinkles in your wrap as this can The cohesive layer outer wrap tends to be a bit “tacky” at times, causing pant legs to cling, dirt and lint to adhere, and bed linens to restrict movement during sleep. Change your compression wrap when it starts to Footwear. Consideration must be given to the patient’s stability and strength and specific suggestions should be included in the patient education for bathing. Do not take your compression wraps into the tub Different injuries to the shin, thigh and knee areas will require different compression techniques. Knowing when to apply compression, what compression or support to utilize, and how to safely compress are critical in the care of these patients. You attach them to you your leg with straps that come in Velcro style. As previously discussed, the patient’s physical/medical needs, occupational and social situation, functional abilities, and financial means must be considered in the compression decision. They are easy to use and provide a resting compression that is as steady as it is comfortable. Applying a plain stockinette can alleviate this problem and make it easier to put on shoes without catching the wrap and causing it to bunch-up at the foot. will poke through. Since not all compression garments are for just anybody, here is a list of patients who should use compression wraps as an alternative: People have found numerous uses for leg compression wraps. The length of wear of the outer wrap will drive the choice of primary ulcer dressing used. This means they can easily be adjusted at any time. Want to Stop Leg Swelling and Improve Athletic Performance?ComproGear Compression Socks are designed to stop swelling instantly!Click the button below to see the lineup of ComproGear Compression Socks: Click Here to Shop ComproGear Compression Socks. The tension or stretch of each wrap while it is being applied, The elastic properties. Special consideration and precaution should be given to diabetic patients who may have a deceptively elevated ankle/brachial index (ABI) secondary to disease related atherosclerotic changes and calcification of vessels. He has purulent draining ulcers over the left foot and leg as well as the right leg. The clinician needs to remember that compression therapy is rarely a short-term treatment. Patients who suffer from regular swelling fluctuation, People who struggle to don traditional compression garments as a result of bad back, inability to bend, or weak hand strength, Patients with fragile skin or pain in their limbs that will worsen if they use traditional compression garments.
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