Practical Hosiery The use of compression hosiery is widespread but there is wide variation in almost every aspect of selection and prescribing practice Also there are hundreds of types There are different classes different testing standards RAL British Standards ID: 308882
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Importance of Hosiery Measurement & SelectionSlide2Slide3Slide4Slide5
Practical Hosiery
The use of compression hosiery is widespread, but there is wide variation in almost every aspect of selection and prescribing practice
Also, there are hundreds of types
There are different classes – different testing standards (RAL; British Standards)
How can the nurse make good judgement about the type required by the individual patient with such an enormous choice?Slide6
Sue Johnson 2002Slide7
Testing Standards
UK Class 1 - 14-17
UK Class 2 - 18-24
UK Class 3 - 25-35
RAL Class 1 - 18-21
RAL Class 2 - 23-32
RAL Class 3 - 34-46
RAL Class 4 - 49Slide8
Practical Hosiery
In some areas pharmacists or appliance officers are responsible for selecting a suitable stocking for patients (education? ABPI?)
Other areas it may be left to medical staff (education? ABPI?)
Pharmacists report being given a prescription that states ‘hosiery’
Anecdotally, there is a lack of knowledge about when and what is safe to prescribe relative to the underlying disorderSlide9
Practical Hosiery
The discrepancy between testing standards can cause confusion
All of this could lead to the patient being prescribed the wrong type for the individual needSlide10
Stephen-Haynes & Sykes, Slide11
Stephen-Haynes & Sykes, Slide12
My Experience of Hosiery
In the Wound Healing Centre and throughout Eastbourne, CCG we have a selection of two makes of hosiery and two types (1 RAL and 1 British Standard)
This enables us to educate all nurses in the area in measurements and correct class and test standard selection for individual patients
It makes life simple for us allSlide13Slide14
My Experience of Hosiery
We have great success in treating with hosiery
This is due to accurate measuring; application; education of the patient and commitment of the clinicians
We do not win them all, but we do win the majoritySlide15
Ramifications of Assessment
One of the problems associated with supplying compression hosiery is concordance from the patient
If they have difficulty applying the hosiery then it will not be used
This ensures that the patient will, at some point, return with another wound
This needs to be addressed during assessmentSlide16
Solutions
Patient education
Carer education
Use of applicators
Education of the nurses applying hosiery
Limit choice of hosiery so that education is simpler Slide17
Conclusion
Use of compression hosiery for venous disease is underrated
It is cost effective for prevention and treatment
Education is vital to enable appropriate selection of product
Measurement is simple and important to the safety and healing of the patient