toes is changing. Use tension wraps to hold your dressings in place. After covering your ankle, secure the tip of the wrap in a place that will not disturb your skin. 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 these three fingers do not have a comfortable fit, the straps may turn out to be too tight for you. They are made of different materials and may be two, three or four layers. The layers have to be wrapped in such a way that no skin They do a great job of compressing new injuries and reducing swelling. fall down or as soon as it gets wet. Having another person available for assistance or placing towels on the floor of the shower or tub to eliminate the slick surface can reduce the risk of falls. Here are some tips that you need to know in order to properly take care of your wraps: It is paramount that wound centers or clinics have different types of wrap options in bulk to treat a large number of patients. A single layer provides approximately 8 mm Hg of compression. Many patients will choose to shower with the wrap on and covered. In order to easily minimize leg swelling, these wraps prevent fluids from gathering at the site of the injury. You can either You should call or visit your healthcare provider, wound center, or emergency room as soon as any of these happens: You should unroll your compression wraps with the round or blunt tip of scissors. Some wraps even make provision for a padding layer with an outer layer in a rigid, elastic, or inelastic form. They are often indicated for medical conditions like lymphedema and wound care. The stretch is often short with high working pressure. just below your knee. Care visits may need to be scheduled twice weekly early on, progressing to weekly unless the patient has home health care and the agency providing the care can provide the appropriate type of wrap as well as the skill level of the nurse changing the wraps in the home setting. An inexpensive alternative to have on hand are standard post-op shoes. Compression stockings come with inherent difficulties, not the least of which is cost. Over time, the amount of compression that a wrap system produces is determined by the following factors: A compression wrap is truly the best way to go when you find it hard to tolerate the conventional compression stockings. 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. multi-layered wraps for your condition, you will have to wrap the area layer by Multilayer systems. This effect can be lessened by wrapping the leg with adequate tension and can be reduced or avoided completely by applying a thick ointment to the leg such as Aquaphor®, (Bieresdorf AG, Hamburg, Germany), Dermabase®, (Paddock Laboratories, Minneapolis, Minn), or a non-gritty barrier ointment. You may have to wear them for about a week, although there are cases that may require that you change them more often. The clinician needs to remember that compression therapy is rarely a short-term treatment. They help to manage leg ulcers, poor circulation, lymphedema, and swelling. Footwear. Additionally, another more enduring challenge with stocking use is that appropriate application requires flexibility and dexterity, making use difficult for some patients. Showering and bathing. Bathing at a sink is always an option, although not particularly acceptable one depending on the patient’s occupation and daily activity. Paste bandages. They also make sure there is no reoccurrence. This system includes a foam layer that molds to the shape of the lower leg and provides a more rigid compressive layer and is followed by a pre-stretched cohesive bandage layer. Your doctor is in the best position to decide how many layers will work best for your condition. Quite effective and versatile, knee wraps feature different stretches and pull tabs. If you are using If arterial patency is in question, comprehensive arterial studies should be done before compression therapy is applied. This may cause patients to enter a cycle of repeated ulcerations if they cannot afford the stockings. One is leg-shaped, flat-knitted with a seam. Multiple types of compression wraps are available for use in wound clinics. 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. If, at some point, you sprain your ankle, it may begin to swell. Examples: Tubigrip (Convatec, Skillman, NJ), Comperm LF (Hartmann-Conco, Rock Hill, SC). Examples include: DYNA-FLEX (J&J, Somerville, NJ), Profore (Smith and Nephew, Largo, Fla), Proguide (Smith and Nephew, Largo, Fla). This is to make sure the Velcro contained in Additionally, this practice provides excellent moisturization. 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. You have to avoid having wrinkles in your wrap as this can Compression stockings can be further classified into two major types. In addition to applying pressure to specific injury or areas of your lower extremities, they also help to reduce swelling. In this case, your healthcare provider will tell you to wrap it in order to minimize the swelling. If the wrap is too bulky for your regular shoes, you may have to wear special footwear or larger shoes. If it has been established that the patient’s lower extremity arterial system is adequate and compression would be of benefit, the source of the swelling (ie, edema or lymphedema) must be determined. Moisture-related skin damage. Wrap of choice. from lint. He walks into the clinic with an antalgic gait then rests in the waiting room. If any one of these factors is omitted from the equation, the patient may be doomed to failure. Multilayered compression wraps can be made of up to four layers. Tubular bandages are fabric tubes with horizontal rings of elastic. An ankle sprain is the most common type of injury that requires a compression wrap. Follow these steps to wrap your sprained ankle: A compression wrap can help when you have an injury on your knees or legs. Compression wraps may cause rubbing, discomfort, and possibly blistering, resulting in iatrogenic injury and further ulceration. You should follow some procedures to wrap your lower extremities properly. A local drugstore can provide a wide selection for a customer searching for a compression wrap. They are easy to use and provide a resting compression that is as steady as it is comfortable. Wrap of choice. Do not take your compression wraps into the tub or shower. (See Figure 10). Compression wraps are very versatile garments, which offer different features that make them more effective and versatile. If you are active when wearing compression wraps, you will enjoy higher working compression. If, Because of the rapid edema loss typically noted, they often need more frequent reapplication than other compression options. The following are important considerations in the management of the compressed patient.