December 2005, Volume 35 Number 12 , p 24 - 25
GALVAN, LINDA RN, APN, CWOCN, BSN
IN MY PREVIOUS ARTICLE (see Assessing Venous Ulcers and Venous Insufficiency” in the November issue of Nursing2005 ), I described assessment of venous insufficiency and venous ulcers. Now let's look at compression therapy, the gold standard of treatment for these conditions. Remember that compression therapy can't be used in patients who also have arterial insufficiency, and can be used only with caution in patients with mild arterial disease.
Many types of compression therapy are available: multilayered elastic compression wraps, elastic compression stockings, pneumatic compression devices, and multilayer bandaging systems (typically two-, three-, or four-layer).
Compression therapy reduces blood backflow in the veins and helps the calf muscles propel blood back toward the heart. For ambulatory patients, a multilayered elastic compression wrap or multilayered bandage wrap is best.
Two-layer wraps, such as the ...