Quick Overview
Categories
Scope of Practice (ScOP) Designation
Aim of Dressing
To aid in venous return to reduce the chances of venous leg ulcers re-emerging.
Tips & Tricks
1) Make sure you are comfortable
2) Have the patient point their toes to the ceiling
3) Make sure you do a good heal lock on both the cotton bandage and the Setopress otherwise the dressing will fall apart
4) Ask the patient how they are feeling with the tightness of the bandage. This will save you having to unravel it half way to redo it.
Dressing Changes (Min - Max)
Twice Weekly
Shopping List
Cotton Role – Defries (Double Pack)
Setopress
Product Selection Disclaimer:
The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre
Related Tutorials
Tutorial Steps
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Make sure you and the patient are sitting comfortably. Have the patient point their toes to the ceiling the best they can
To minimise irritation from the Setopress wrap the leg in cotton bandage in the same technique you will use with the Setopress. It is very important to start below the toes to allow for monitoring of stenosis. Wrap the leg using a heel lock and then 50% overlap up to 2 fingers or 5cm below the back of the knee.
Apply the Setopress starting just back from where the cotton bandage started and applying no stretch to the foot area. Apply a heel lock.
Wrap the leg with a 50% overlap until you reach where the cotton bandage ends. Stretch the bandage as you go up the leg to the correct stretch using the coloured rectangles (in this case green – 20mmHg) to apply the appropriate stretch. This can be seen when the green rectangles form squares.
Secure the Setopress using tape.
General Notes
What have we learnt:
1.Make sure your posture is correct. It is best to sit and apply the bandages or have the patient on a bed rather than squatting
2.Always have the patient point their toes to the ceiling to aid the flexion of the ankle and minimise the over tensioning of the bandage around the foot
3.Start the cotton bandage and compression bandage below the 5th toe with minimal to no tension
4.Always remember to do an appropriate heal lock
5.Finish 2 fingers (5cm) below the back of the knee