Lymphedema: Compression Bandaging Exam With Complete Solutions

Lymphedema: Compression Bandaging Exam With Complete Solutions short stretch bandages - answer- primary used in decongestive phase of CDT - exert low resting pressure (low constriction force which ^ pt comfort at rest) - exert high working pressure (^ resistance to re-filling due to no stretch, preserves decongestive results between txs) - textile-elastic - no blood circulatory disturbance - construct a compression gradient (distal > proximal) to determine working vs resting pressure: - answer- type (long/short stretch) of bandage -tension with applications - # of layers - age/condition of material working pressure - answer- resistance bandages gives working musculature - temporary (only w/ muscle expansion) - valve depends on muscle contraction - ^ tissue pressure - lower the elasticity the higher working pressure Long stretch bandages (ace bandages) - answer- not good for L tx - constrict veins+lymph vessels and decrease support to contracting muscles - contain polyurethane + retain low working pressure - exert high resting pressure (venous+lymphatic vessels in skin are compressed) - may cause tourniquet effect Resting Pressure - answer- pressure bandages exert on tissues at rest = no muscle contraction - permanent pressure - comes from tension used during bandage application Compression Garments - answer- once limb decongested pt changes from bandages to elastic garments - worn forever - replace every 6 mos or sooner - elastic garments in AM NOT PM (restrict blood flow and can bunch in bed) - closed toe garments are NOT adequate to control toe swelling Contraindications for Compression Therapy - answer- cardiac edema - peripheral artery disease - acute infections Caution to use compression therapy with - answerHTN, cardiac arrhythmia, decreased sensation, partial/all paralysis, age, CHF, mild to moderate arterial occlusive disease, diabetes, malignant L Compression Bandages are which phase - answer- first phase - decongestive (intensive) phase - limb volume changes daily garments are which phase - answersecond phase Application goals of compression bandages - answer- create a palpable compression gradient from distal to proximal end of extremity - create a functional effective, comfortable, + durable compression - create structure for environment external short stretch bandages to adhere to functional bandage - answerjoint+muscles only a little restricted effective bandage - answer^ enough pressure valves to achieve goal but not limit arterial supply, cause discomfort, or be tourniquet comfortable bandage - answerskin, tendons, bony prominences, areas of small circumferences are protected w/ special pad