Compression dressings for chronic wounds – The fundamentals

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Educational Activities (EA)
These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.

RP
0.5 mins

Reviewing Performance (RP)
These are activities that require reflection on feedback about your work.

MO
0 mins

Measuring Outcomes (MO)
These are activities that use your work data to ensure quality results.

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Description

In this episode:

  • Compression is the mainstay for managing venous leg ulcers and other lower limb wounds with oedema
  • Most patients with poor arterial supply can safely use compression with proper assessment via arterial duplex ultrasound
  • A key contraindication for compression therapy is significant sensory loss or neuropathy due to risk of undetected pressure injuries
  • Starting with light compression (tubular bandages) allows patients to adjust before progressing to stockings or multi-layer systems
  • Managing neuropathic pain with appropriate medications is crucial for ensuring compliance with compression therapy

 

Expert: Dr Iestyn Lewis, Emergency Physician

Host: Dr Marita Long, GP and Medical Educator

Total time: 40 mins

 

Recommended resources:

 

Last Updated: 14 Mar, 2025

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