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HLTEN504A - INCP

HLTEN504A - INCP. ANTIEMBOLITIC STOCKINGS. ANTIEMBOLITIC STOCKINGS.

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HLTEN504A - INCP

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  1. HLTEN504A - INCP • ANTIEMBOLITIC STOCKINGS

  2. ANTIEMBOLITIC STOCKINGS • Antiembolitic stockings are indicated for patients who have problems with circulation to their feet and legs or for prophylactic purposes. The elastic material compresses the veins of the legs which in turn aids venous blood flow back to the heart.

  3. Prophylactic Use • Antiembolitic stockings are used for patients considered at risk of developing of deep vein thrombosis (DVT). These include: - • Pre-operatively • Post operative patients (e.g., hip replacement, cardiac surgery, stripping of varicose veins) • Immobile patients • Long term bed rest. • Oedema in the legs (fluid volume excess)

  4. There are several types of stockings One which extends from the foot to the knee • Another which extends from the foot to the upper thigh (groin). • Another extends from the foot to the waist • These stockings come in small, medium and large sizes • Stockings have a partial foot that exposes the toes so that the extremity circulation can be assessed. • Stockings should be applied before the patient gets out of bed.

  5. Measuring stockings • A tape measure and size chart is required to ensure the correct size of elastic stockings.

  6. Knee high stockings • Measure the circumference of the calf at the widest point e.g., 15 cm below the inferior aspect of the patella. • Measure the length of the leg from the bottom of the heel to the popliteal space. • Compare to size chart for the appropriate size stocking

  7. Thigh length stockings • Measure the circumference of the calf (see above) • Measure the circumference of the thigh at the widest point • Measure the leg from the bottom of the heel along the inside of the leg to gluteal fold • Compare to size chart for correct size stocking

  8. Applying the stocking • Turn the stocking inside out • Grasp the foot and heel of the stocking and invert the stocking over the hand so as to turn the leg and foot portions inside out to the heel portion • Remove the hand and slip the foot portion over the patients toe, foot and heel. • Make sure the patient’s foot fits into the toe and heel portions of the stocking • Pull the leg portion of the stocking over the foot and up the leg • Pull the stocking evenly up the leg to it’s fullest length • Ensure there are no creases or wrinkles and the stocking is not twisted (impedes blood flow. • Repeat on the other leg. • Check regularly to ensure the top of the stocking has not rolled down and that the leg above the stocking is not swollen.

  9. 1.  Insert hand into Stocking as far as the heel pocket.

  10. 2.  Grasp the centre of the heel pocket and turn Stocking inside out to heel area.

  11. 3.  Position the Stocking over the foot and heel, taking care to centre the heel in the heel pocket.

  12. 4.  Pull Stocking up and around the ankle and calf, working up the final position. For Knee Length, top of Stocking should be 1 to 2 inches below bottom of knee cap. For Thigh Length, the stitch change (change in fabric sheerness) should fall between 1 to 2 inches below the bend of the knee, and top band rests on the line at the bottom of the buttocks. Smooth out any excess material

  13. CAUTION: DO NOT UNDER ANY CIRCUMSTANCES, TURN DOWN TOP OF STOCKINGS; DO NOT COVER ANY PORTION OF THE KNEE.

  14. Note: - • There are a number of methods/strategies that can be applied to make the application of the stockings much easier. These include talcum powder, plastic bags, parachute silk tubes and wire cages. • Removing stockings • Hold the top of the stocking with both hands and pull it down to the foot • Support the foot and ankle with one hand and pull the stocking over the foot and off • Repeat for the other leg • Record assessments and the time stockings were applied (as per organisation’s policy)

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