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
Wadding being applied over liner
Completed below knee compression bandage