Wound Care and Compression: The Basics

Published in Wound Care on October 04, 2022

Heather TrummBy Heather Trumm, Director, VGM Wound Care 

Within the wound care space are many different types of compression that can be used to manage wounds. When looking at which type to use, it depends a great deal on the person’s disease state. The disease state we see most is venous disease.  

Venous Disease 

More than 30 million Americans suffer from venous disease. What is venous disease and why does it involve wounds? Venous disease occurs primarily in older adults, though it can be found in younger individuals as well. The valves of the venous system in the lower extremity are faulty and don’t effectively push the venous blood back to the heart. As a result, pools of blood and fluids in the lower extremities cause inflammation and swelling. The pressure of the fluid can cause a wound, but wounds may also develop from an encounter with an object (coffee table, etc.).  When the wound occurs, it’s difficult for it to heal because of the poor venous blood flow back to the heart. That is where compression comes into play. 

Compression and Venous Disease 

When it comes to compression, there are certain factors that are very important to consider. Ideally, the blood should go back to the heart, but if an individual has other comorbidities or disease states that are happening within the body (such as peripheral artery disease, which means narrowing of the arteries), the compression of an artery must be avoided. The blood must circulate to where it needs to be.  

With compression, there's a measurement called an ankle brachial index (ABI), which essentially gives a measurement of one’s blood pressure of their extremities. It provides a guide for nurses and compression professionals on how much compression should be used in millimeters of mercury (mm) to compress that lower extremity to where it's beneficial, yet not harmful to the patient.  

Because of the complexity of compression and all the factors to consider, it is so important for DME and HME providers to have an educated, trained member of the team who does the fitting of compression.  

Helpful Tools 

If clinicians or podiatrists are struggling with what to do when it comes to compression, the WOCN Society has a VLU algorithm to help the clinician identify the need for compression and which type the individuals need. Click here to learn more.  

For further questions on compression, contact Heather Trumm, Director of VGM Wound Care, at [email protected]  

References 

Alavi A, Sibbald RG, Phillips TJ, et al. What's new: management of venous leg ulcers: treating venous leg ulcers. J Am Acad Dermatol. 2016;74(4):643–666.


TAGS

  1. hme
  2. vgm
  3. wound care

From Our Experts

Therapeutic Support Surfaces: Diving Into the Business of Group 3 Air Fluidized Beds thumbnail Therapeutic Support Surfaces: Diving Into the Business of Group 3 Air Fluidized Beds If Group 3 air fluidized beds are so needed, why isn't anyone diving into the business? If you are providing wound care in your DME business, adding air fluidized therapy beds to your mix is a great way to help serve your patients as well as increase your revenue. CGMs and the Diabetic Market thumbnail CGMs and the Diabetic Market Continuous Glucose Monitoring (CGM) continues to be a hot topic in the wound care space. In a podcast by Industry Matters, Wayne van Halem, president of The van Halem Group, and Joseph Ault, sales manager for GEMCO, discuss CGM audits, qualifications for reimbursement and documentation, as well as the opportunities in the diabetic market. Emerging Market Trend: Bariatrics thumbnail Emerging Market Trend: Bariatrics Providers don't have to offer everything at once. They are likely already serving bariatric patients. Simply asking them about the areas they need assistance will determine the best starting point. From there, just keep listening to the patients and focus on serving their needs. That's where the opportunity is. Nutrition: One Factor that Aids in Positive Outcomes for Wound Healing thumbnail Nutrition: One Factor that Aids in Positive Outcomes for Wound Healing In wound care, we look at many factors to move positive outcomes to the goal of patient healing. Some factors we cannot change, but some we can change, which can actually aid in wound healing. Nutrition is one of those factors. Wound Awareness on Moist Wound Environment thumbnail Wound Awareness on Moist Wound Environment When thinking about wound care awareness month, moist wound healing popped in my brain! Keeping a wound moist during the healing process is one of the most important aspects of wound healing. Heartland Conference Sneak Peek: Wound Care Best Practices thumbnail Heartland Conference Sneak Peek: Wound Care Best Practices Looking to expand your wound care business? Look no further than the wound care expert panel discussion at Heartland. Does VGM Have a Turnkey Program for Surgical Dressings? Yes We Do! thumbnail Does VGM Have a Turnkey Program for Surgical Dressings? Yes We Do! Heather Trumm receives many questions from Home Medical Equipment providers (HMEs) on surgical dressings. She addresses some of the topics in today's blog. Profitability in Wound Care: Is it Possible? thumbnail Profitability in Wound Care: Is it Possible? As we begin a new year, now is a great time to look into new business opportunities, and one to consider is wound care. If your business does not have a wound care offering, you may be leaving money on the table.