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 who have previously attended training on compression bandaging. Remember before starting a course of compression of any sort with a patient you should be clear of the contraindication and the cautions involved:

Indications for bandaging: Fragile, damaged or ulcerated skin, lymphorrhoea (weeping skin), distortion in shape, limb too large to fit hosiery, deep skin folds, chronic skin changes.

Contraindications to bandaging: Severe arterial insufficiency,DVT, uncontrolled heart failure, uncontrolled hypertension,severe peripheral neuropathy, acute inflammatory episode, active TB

Film clips (click on the videos below to play; to hear the commentary, turn up your speakers or insert headphones):


Below Knee Bandage for chronic oedema/lymphoedema


Full leg bandage for chronic oedema/lymphoedema

 

Below, some key photographs from the film clips for compression bandaging:

Application of toe bandaging

Application of toe bandaging

Wadding being applied over liner

Wadding being applied over liner

Completed below knee compression bandage

Completed below knee compression bandage