Vte Correct Fitting Of Anti-embolism Stockings

By Author: Emma Soos
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I am Emma Soos, a registered nurse. I would like to explain the importance of fitting and checking anti embolism stockings in accordance with the guidelines of NICE.

Anti embolism stockings are worn by patients after surgery to ensure that the venous and lymphatic systems of the leg carry on normal operation. They also help to prevent clotting of blood in the patient's legs, which may contribute to a condition called Deep Vein Thrombosis (DVT) . This condition occurs when a blood clot forms in the deep veins in the legs. Sometimes, blood clots can result in a fatal condition known as Pulmonary Embolism (PE). It can be difficult to fit anti embolism stockings because they are designed to compress upon the legs. Experienced nursing staff in the hospital can lend great support to patients to applying the stockings.

Anti embolism stockings are available in waist length, knee length and thigh length types. The stockings are available in varying sizes small, medium, large and extra large. Correct fitting of anti embolism stockings is crucial to keep the patient comfortable and ensure the correct amount of pressure is ...
... applied to the limb without restricting flow in any way. In order to obtain perfect fit and therapeutic value, it is vital to determine the correct size and length of the patient's leg.

For knee length stockings you can measure the calf circumference of the patient at the largest part of his/her calf to determine the size, and measure the distance from base of the heel to the back of bend of knee to determine the length. Ankle Circumference is also often a that is measurement needed. Each manufacturer should stipulate the ranges on their packaging in order to help in selecting the correct size with some companies providing colour coded tape measures as a handy aid. Knee length stockings have been proven in recent studies to be more effective than full length stockings for a variety of reasons. Patient comfort and compliance is increased with the knee length as compared to thigh length. It is generally accepted that knee-length is suitable for most patient cases post DVT and as a preventative management.

Thigh length and thigh with waist belt stockings are constructed to reduce venous stasis in the entire leg of the patient. Correct fitting of anti embolism stockings can be achieved if you follow some simple steps.

It is important to measure 2cm above the ankle of the patient. Then measure the length of his/her leg from the heel to the gluteal fold. It is significant to ensure that the stockings end at gluteal fold so that the patient can get comfortable fit. Thigh length is mostly advocated above knee-length for post-vascular surgery such as Varicose vein stripping,

It is crucial to follow the application instructions carefully to apply the anti embolism stockings. You can put the stocking over the patient's foot and ensure that the inspection hole lies above his/her toes. Pull the stockings slowly over the heel and calf. You need to make sure that the stocking is free from folds and wrinkles after wearing. If thigh length stockings are used you need to fasten them with the plastic buckle if it is provided. Most thigh length stocking are self-fitting with a rubber lined band on the interior of the top hem to gently adhere naturally to the leg (in a similar fashion to your daily sock)

Stockings must not be applied over open uncovered wounds, fractures or deformities. To prolong the life of the stockings it is advised that you avoid creams, lotions or greasy coverings to the limb as these can degrade the elastic and effectiveness of the stockings.

For those with manual dexterity problems there are cages that your health care provider can arrange for you. Another handy trick is to place a plastic sandwich bag ( or similar) over the foot to aid in the covering of the foot. This reduces friction and the bag can be removed through the small hole which is usually under the ball of the foot

It is important to periodically check throughout the day that the stockings have not rolled down or creased

Correct fitting of anti embolism stockings is a recognised non-invasive measure which aims to prevent blood clots from forming in the patient's legs. The patient who needs to use stockings for the long term must also learn how to remove them for cleaning and re-applying

You can find more information at VTEexpert.org

The article about Correct fitting of anti embolism stockings is written by Emma Soos. More information about the author Emma Soos can be found at www.emmasoos.com