Ep5 - Let's start measuring up compression

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 Introduction01:00 How lymphoedema training has informed our practice as wound consultants02:11 Looking wholistically at hard-to-heal wounds through a lymphoedema lens02:33 Clearing oedema in proximal body parts first before moving oedema in the legs03:10 Assessing oedema03:32 The problem of less research and experience in non-cancer related chronic oedema than cancer-related04:14 Location and distribution of fibrotic tissue composition05:05 Lymphoedema wound nurses the outliers06:42 Where are the compression companies at wound management events?07:55 Wound clinicians without lymphoedema training do not understand compression prescription in chronic oedema08:09 Prioritising lymphatic function and compression over wound hygiene, including debridement10:12 Reluctance of some allied health professionals to apply lower limb compression in the presence of wounding 11:22 Practice gaps in wounds and compression prescription12:54 Motivation to understand more about lymphoedema13:51 Myth of venous oedema being different to lymphoedema14:00 More on reluctance to treat chronic oedema when wounds present14:48 Lymphoedema escalation pathway15:11 Becoming a lymphoedema mentor15:43 Self-care in lymphoedema16:18 The gaps in staging lymphoedema16:40 Inadequate compression prescription, application and troubleshooting leading to bad patient experiences and money down the drain17:36 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 intolerable22:09 The S.T.R.I.D.E. document to guide compression selection  23:11 Practical considerations when using S.T.R.I.D.E. principles25:36 Round versus flat knit garments27:31 Wound lymphoedema clinicians have two computers of formulary open simultaneously 28:52 More on round versus flat knit30:47 Muffin-topping a red flag that compression needs to be applied into the thigh or higher32:19 The Australasian Lymphology Association resources and courses 32:56 When nurses speak the same language around wounds and chronic oedema34:38 Prioritise leg hygiene, understanding chronic oedema before debridement and dressings36:38 The influence of industry on the science, education and clinical practice of wound managementResources 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/If you enjoyed this episode please like, subscribe, leave a comment or share with your colleagues.Connect with us at: Email [email protected] TikTok https://www.tiktok.com/@twoechidnaeConnect with Donna's resources and sign up for the Woundy Wisdom's newsletter at https://goodwoundcare.carrd.co/Disclaimer: The views expressed in this podcast are our own. This podcast is intended specifically for healthcare professionals. Always follow your organisation's policies and procedures. Please consult your own healthcare provider for individual wound advice.