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Case Study/Series Study
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Selecting a Compression Bandage System for the Difficult to Fit First Author: Laurel Wiersema-Bryant Authors: Linda Stamm Cassandra Ward Michelle Donaway Leslie Stanfill Patrician Madden John Kirby, MD Lower extremity edema from lymphedema and venous disease requires long-term management with compression therapy. In our practice, patients are typically treated with layered bandage systems in an effort to control and heal existing ulcers. The patients are then placed in compression stockings and instructed in self-management techniques. The patients to be presented in this poster represent a group of patients for whom the standard management practice may not be successful. Patient one is nearly 7 feet tall and weighs in excess of 350 pounds. After nearly twelve months of treatment for lymphedema with massage and short-stretch bandaging, he was placed in 30 - 40 mm Hg custorm compression stockings. Within two weeks, the edema had worsened and an ulcer had developed on the dorsum of the foot. Patient two is over 6 feet tall and weighs approximately 130 pounds. His venous disease was aggressively managed with layered compression bandaging and surgical intervention. Attempts at compression stockings failed. His legs and feet are long, thin, and his caregivers could not apply even a two piece stocking over his heel. A third patient could not apply his compression stockings as a result of obesity and arthritic changes in his hips and knees. His venous ulcers recurred in spite of multiple efforts at compression wrapping and surgical intervention. All of these patients were successfully treated with Short-stretch bandage systems* which can be independently applied and removed. *Thera-Boot compression bandage by Circ Aid *Farrow Wrap by Farrow Medical. |
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