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Case Study
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An advanced shared technology: foam compression dressings and high compression bandaging system Trish Fowler, RN, ET, Theresa Hurd, RN, CCRN, MScN, MEd, APN, Barbara Baker, RN, ET, Judy Zabrikas, RN, ET Problem: Chronic venous insufficiency is the most common cause of lower extremity ulcerations. It is estimated that over 60,000 Canadians are plagued with venous ulcers. Most venous ulcers are cared for in the community, and the cornerstone of therapy is compression therapy. Compression bandages are routinely applied, in most cases by a nurse. Research has demonstrated that bandage choice (eg, high compression versus low compression) and the actual application of pressure remain inconsistent in nursing practice. A major challenge is determining a compression bandaging option that will be effective, long wearing (ie, 7 days), comfortable, and able to manage high volumes of exudate Solution: A team of community nurses (1 APN and 3 ET's), while implementing a product formulary, found a highly effective shared advanced therapy for venous ulcers, using a unique foam dressing designed for application under compression therapy, and a two- layer, high-compression system. Discovery: Shared advanced therapy was found to reduce healing times, increase patient comfort, and reduce the frequency of dressing changes from three times per week to once a week. This therapy has been demonstrated to be very cost-effective. In addition, the technology of the compression bandaging gave the nurses a much more efficient and straightforward method of applying compression which, in turn, allowed for a more consistent application of high compression, thereby improving healing times. Conclusion: Shared advanced therapy for venous ulcers, involving foam compression dressings and high compression bandaging systems has been shown to improve healing times, patient comfort and cost-effectiveness.. Graham I, Harrison M, Moffat C. Leg ulcer care: nurses knowledge and attitudes. Canadian Nurs. 2001;(97):3. |
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