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Lower Limb Oedema: Case series showing oedema reduction using Compre Flex adjustable compression system

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Lower limb oedema: Case series showing oedema reduction using COMPREFLEX adjustable compression system

Leanne Atkin: Vascular Nurse Specialist Pinderfields Hopsital: Clare Barker: Vascular Sister: Tracy Green: Clinical Advisor Sigvaris Britain Ltd & Honorary Lymphoedema Nurse Specialist

 

INTRODUCTION: Oedema is a visible swelling that occurs as a result of an imbalance between lymphatic transportation and capillary filtration. Compression therapy is a vital aspect of oedema management and is usually achieved by the use of multi layered bandaging systems or compression hosiery. Patients are known to fail to comply with these systems due to discomfort, inability to remove bandages for a period of time, difficulty in donning and doffing and do not understand the importance of its benefits. Adjustable compression systems present new opportunities within the field of oedema management including improving treatment outcomes, supporting self management and promoting patient independence (Williams 2016). METHOD: Six patients with lower limb oedema who met the criteria for compression therapy in order to reduce their limb swelling were fitted with the “CompreFlex” below knee garment and boot. The system delivers 30-40mmHg pressure when there is normal muscle activity. The pressure is lower at rest. Patients lived alone or did not have carers or family who were able to assist them with application of compression stockings etc.. None of the patients had wounds on their legs so the device was used as a tool for reducing oedema and enabling independence with compression therapy. Exclusion criteria: Patients: under the age of 18 years ; with severe peripheral arterial disease where compression may be contra – indicated: those who were unable to understand / unwilling to take part in the evaluation. RESULTS: Patients observed that they were able to apply and remove the CompreFlex independently. They found that the device was comfortable to wear and could be readjusted easily as required throughout the day thereby enhancing concordance. Patients found that their limb swelling reduced more quickly than with the use of compression hosiery and that they noticed improvement in their skin and tissues as a result. CONCLUSION: The case series show that patients were satisfied with the ease of application and removal of the device. They were concordant with treatment as they were able to readjust the garment to maintain compression and comfort throughout the day and they all achieved swelling reduction and improvement in their skin and tissue condition

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