Compression Garments

Compression hosiery is the main stay of treatment in chronic oedema. Without the application of hosiery, any reduction from compression bandaging will be short-lived and the oedema will rebound. Before applying compression stockings, assessment of the arterial...

Prescribing Compression Hosiery

Information required: Type (e.g.below-knee, thigh with grip-top, tights); Category British standard or Lymphoedema (sometimes referred to as ‘European’ see below); Compression class (strength) e.g. class 1 – 4 (see below); Size (from measurements as...

Compression Bandaging

Compression bandaging for chronic oedema/lymphoedema in the community is adapted slightly from the multi-layered bandaging that would be done in a specialist clinic but can still be very useful. The two short film clips below were designed as a reminder to support...

Community Nurses

Welcome to the community nurses’ page. Working in the community, you will encounter a wide range of patients who present with long-term swelling, some of these will be chronic oedema, some will be lymphoedema and others will be palliative oedema or palliative...

Causes of Chronic Oedema

Chronic venous disease Prolonged dependency/immobility e.g. follwing stroke, failure to go to bed, wheelchair bound. Obesity IV drug abuse Medication side effects e.g. steroids, gabapentin, Amlodipine Significant trauma e.g. burns, degloving etc Chronic organ failure...

Chronic Oedema

Causes Chronic oedema is oedema that has been present for 3 months or more. The main causes are: Chronic venous disease Prolonged dependency/immobility e.g. follwing stroke, failure to go to bed, wheelchair bound. Obesity IV drug abuse Medication side effects e.g....

Management of Chronic Oedema and Lymphoedema

Management of chronic oedema consists of identifying and eliminating risk factors where possible e.g. prolonged dependency, obesity, sedentary lifestyle. A combination of preventative and active therapy includes compression, skin care, exercise, healthy lifestyle....

Doctors

Doctors self-identified their education needs in a recent study* (as summarised in the charts below) Lymphoedema services in Scotland Differential diagnosis of lymphoedema and further information Prescribing compression hosiery Best practice for cellulitis with...

Palliative Lymphoedema/Oedema

Oedema is a common feature in many long term-conditions including: Advanced cancer Chronic Heart Failure Advance neurological and liver disease End stage renal disease End stage chronic respiratory disease HIV/Aids Causes of oedema can be multi-factorial in this...