Application Do’s
Before...
During...
After...
Confirm venous diagnosis by checking the pulses or measuring the ABPI.
When in doubt, refer to a specialist.
If the patient is receiving compression for the first time:
Explain venous insufficiency and VLU management to the patient and ensure they understand the importance of wearing their compression wrap as instructed.
Ideally, compression should be applied in the morning, after waking up, or after having raised the patient’s legs for one hour to reduce orthostatic edema.
For UrgoK2
Before starting, make sure you have:
- Medical gloves
- Scissors
- Surgical tape
Address all wounds and pad boney prominences as clinically necessary.
Ensure the leg is shaped to look like an inverted cone. Buildup may be necessary to achieve this shape.
Place foot at a 90 degree angle.
It is recommended to start wrapping at the 5th metatarsal (small toe) and wrap around at the base of the toes. This is your anchor wrap.
The next wrap should ensure the heel is fully covered and then proceed upward on the limb.
Make sure the overlap is correct.
If you are right-handed, the pressure indicators should be fully covered by the wraps and will not be visible.
If you are left-handed, the pressure spot indicators should remain visible.
Make sure the leg is well covered and that there are no gaps, including at the heel and the back of the legs.
Make sure the pressure indicators are forming circles.
Ensure the bandage stopped 2 cm below the back of the knee, front and back.
Ensure you have a cuff of (1 cm) of white short-stretch bandage appearing beyond the beige long-stretch bandage at the base of the toes and just below the knee.
You should see a cuff of fluff at toes and below the knee.
Facilitate shoe fitting:
Once the beige bandage has been applied, use a nylon stocking so that it slides more easily into the shoe to facilitate fitting.
Alternatively, some caregivers apply the excess beige bandage vertically starting under the foot and move up to below the knee. This has a "shoehorn" effect.
Ask your patient to closely monitor if they experience any discomfort, pain or skin reactions whilst wearing the product. If so, they should refer to their healthcare professional as soon as possible.
If it is the first time
this patient receives
compression:
Follow-up after 24h to inquire if everything is going well with the treatment.
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How to check the pulses?
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Want to explain what is a venous leg ulcer and why it needs compression to your patients with short & simple videos?
Check our LEGS GO! Know Your Legs video playlist on Youtube!
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The heel should be fully covered by the bandages, as in the photos below
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You should see a cuff of fluff at toes and below the knee
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