Compression, the topic everyone has experience with, an opinion on, and something to learn - including us. This will be the first episode of many on compression because there is so much to unwrap. We would love to hear your feedback on this one as we touch on so many points.
Timestamps:
00:00 Introduction
01:00 How lymphoedema training has informed our practice as wound consultants
02:11 Looking wholistically at hard-to-heal wounds through a lymphoedema lens
02:33 Clearing oedema in proximal body parts first before moving oedema in the legs
03:10 Assessing oedema
03:32 The problem of less research and experience in non-cancer related chronic oedema than cancer-related
04:14 Location and distribution of fibrotic tissue composition
05:05 Lymphoedema wound nurses the outliers
06:42 Where are the compression companies at wound management events?
07:55 Wound clinicians without lymphoedema training do not understand compression prescription in chronic oedema
08:09 Prioritising lymphatic function and compression over wound hygiene, including debridement
10:12 Reluctance of some allied health professionals to apply lower limb compression in the presence of wounding
11:22 Practice gaps in wounds and compression prescription
12:54 Motivation to understand more about lymphoedema
13.51 Myth of venous oedema being different to lymphoedema
14:00 More on reluctance to treat chronic oedema when wounds present
14:48 Lymphoedema escalation pathway
15:11 Becoming a lymphoedema mentor
15:43 Self-care in lymphoedema
16:18 The gaps in staging lymphoedema
16:40 Inadequate compression prescription, application and troubleshooting leading to bad patient experiences and money down the drain
17:36 What do we mean by the term “tolerating” compression?
21:34 Using the term” they don’t tolerate” compression when it is the healthcare system that is intolerable
22:09 The S.T.R.I.D.E. document to guide compression selection
23:11 Practical considerations when using S.T.R.I.D.E. principles
25:36 Round versus flat knit garments
27:31Wound lymphoedema clinicians have two computers of formulary open simultaneously
28:52 More on round versus flat knit
30:47 Muffin-topping a red flag that compression needs to be applied into the thigh or higher
32:19 The Australasian Lymphology Association resources and courses
32:56 When nurses speak the same language around wounds and chronic oedema
34:38 Prioritise leg hygiene, understanding chronic oedema before debridement and dressings
36:38 The influence of industry on the science, education and clinical practice of wound management
Resources mentioned:
- STRIDE document https://lymphoedemaeducation.com.au/wp-content/uploads/2019/07/S.T.R.I.D.E.-Professional-Guide-to-Compression-Garment-Selection-for-the-Lower-Extremity.pdf (if you’re curious what STRIDE stands for, it’s Shape, Textile Type, Refill, Issues, Dosage, aEtiology)
- Australasian Lymphology Association https://www.lymphoedema.org.au/
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Disclaimer:
The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your
