Compression

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wound care journal club

ByTemple University School of Podiatric Medicine Journal Review Club

Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.

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By Bradley W. Lind and James McGuire DPM, PT, CPed, FAPWHc

Venous leg ulcers are a type of lower extremity wound complicated by excess fluid production, periwound edema, and high bioload produced by venous insufficiency often leading to secondary lymphedema. The Coban™ 2 Layer Compression Therapy System, created by 3M Health Care, was designed to achieve sustained therapeutic compression, while improving the ease of application, and reducing slippage of the dressing during wear. The reduction in layers of the dressing also allows the patient to wear their own footwear and avoid the purchase of a surgical shoe.

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By Carmelita Harbeson and James McGuire DPM, PT, CPed, FAPWHc

Compression therapies work to restore circulation, reduce edema, and enhance tissue stability. With the myriad of compression options available, sorting through which treatments are best for each patient can be a daunting task for clinicians. This post presents an introduction to Tubigrip™, a multi-purpose tubular compression bandage and focuses on its utilization in decreasing edema associated with venous and lymphatic conditions.

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Blood Pressure Cuff

By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Patients who come in with venous insufficiency ulcers and lower extremity arterial disease (LEAD) should be evaluated for compromised vascular status and the use of compression. The purpose of the ankle-brachial index (ABI) test is to support the diagnosis of vascular disease by providing an objective indicator of arterial perfusion to a lower extremity.

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By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Compression therapy is the “gold standard” for the treatment of venous ulcers. However, compression therapy is not a one-size-fits-all treatment and the clinician must decide on the right type of compression therapy for the individual client in order to prevent complications from occurring, such as ischemia and necrosis.

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