Monday, March 20, 2017

Application Technique - Compression Bandage

Equipment Needed:
  • Cohesive gauze, foam or cotton under bandage
  • Bandages of appropriate elasticity
  • cotton or foam for padding

Bandage/Wrapping Size:
  • Hand/Wrist: 2-3 Inches
  • Foot/Ankle: 3 or 4 in
  • Elbow = 3, 4, or 6 in
  • Knee = 4 or 6 in
  • Upper Arm = 6 in
  • Thigh = 6 in

Procedure:
  1. Remove clothing and jewelry from the area to be treated
  2. inspect skin in the area
  3. apply foam or cotton padding around anatomical indentations
  4. Dress and cover any wound according to the treatment regimen being used for that wound
  5. Apply a cohesive gauze, foam or cotton under bandage to protect the skin from the compression bandage and minimize slipping of the bandage, starting distally and progressing proximally 
  6. Apply compression bandage, starting distally and progressing proximally. when applying a bandage to the lower extremity, first apply it around the ankle to fix the bandage in place, then wrap the foot, leg and thigh.  Wrapping around the foot should be from medial to lateral dorsum of the foot, in the direction of pronation.  When applying a bandage to the upper extremity, first apply it to the wrist to fix it in place, then wrap the hand, forearm and arm.  More tension should be applied distally then proximal and apply in a figure 8 manner

Advantages of Compression Bandages:
  • Inexpensive
  • Quick to apply once skill is mastered
  • readily available
  • extremity can be used during treatment
  • safe for acute conditions

Disadvantages of Compression Bandages:
  • When used alone it does not reverse edema
  • effective only for controlling edema formation
  • requires moderate skill and flexibility to apply
  • inelastic bandages are ineffective in controlling edema in a flaccid limb

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