PT 7890 Case Management I Integumentary and Vascular Considerations Related to Wound Management

MU PT 7890 – Case Management of Medical/Surgical Conditions Wound Management Adjuncts: Compression & Pressure Relief

Applicable for Device Purpose Suitable LE ROM & OK to apply over Stable Compliance High skill High this type of for long hand dexterity a dressed edema level is a factor? level to don expense? wound term use? required? (healing) wound? required? and doff? Venous Unna’s Boot Non-elastic gauze (zinc N NA Y Y NA NA ~ Medicated with insufficiency oxide). Facilitates calf calamine and zinc (chronic) pump during gait Compression Elastic compression Y Y Probably not Y Y N Y Pressure > 25-35 stocking: Off mm must be the shelf, or prescribed and Custom fit custom fit Ace® bandage Elastic compression Y Y Y N Y Y N Controlled tension: or bandage: rectangular or Controlled- Long stretch circular marks for tension wrap proper pressure application 4-Layer Elastic compression Y Y Y N Y Y N Profore® bandages: Long-stretch + short- stretch combination CircAid ® Non-elastic (nylon). Y Y Y N Y N Higher Custom or stock; Fully adjustable initially, Apply with equal compression but tension to straps durable Post-op  Sequential Compr. Device TED: 18 mm at the prophylaxis  Anti-embolus stocking (TED) ankle. Intended for for DVT  warfarin use when supine. Arterial Total Contact  Off-loads plantar N NA Y NA NA NA ~ NOT appropriate if insufficiency Cast (TCC); pressure wound is infected or diabetic * Posterior  Rigid ulcer on Walking Splint  Rocker Bottom plantar Custom Pressure dispersion Y N Y NA NA NA ~ surface molded insoles (with cutout) Rocker bottom Off loading plantar p. T-shaped steel Off loading plantar p. shank Lymphedema Multi layered 30mm Hg Y Y ? N Y Y Y Post mastectomy, wrapping Many layers applied axillary nodes, radiation therapy. LE lymphedema * Posterior Walking Splint: a bivalved TCC using just the posterior half and the shoe surface, secured with an elastic bandage.

Absolute Contraindications for Compression Relative Contraindications for Compression 1. Severe Peripheral Arterial Disease 1. Decreased or absent sensation in the leg 2. Decompensated Congestive Heart Failure 2. Allergy to compression material 3. Septic Phlebitis 3. Moderate peripheral arterial disease 4. Infection in the leg EP 4/7/2018 EP 4/7/2018