Note: Only apply PROFORE following training in its application and with knowledge of the use of compression therapy in patients with compromised arterial circulation.
Before applying the first bandage check the following:
- Assess the patient thoroughly to ensure that sufficient arterial supply exists to apply compression therapy. The use of Doppler ultrasound is essential.
- Ankle : Brachial pressure index (ABPI) should be greater than 0.6.
Measure the ankle circumference to confirm that it is greater than 18cm (padded).
Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well protected using the PROFORE #1 padding to distribute pressure evenly.
If the patient has a known allergy to natural rubber latex, protect the skin from the bandage end seal using natural padding bandage.
Apply PROFORE Lite in the following sequence:
PROFORE sterile wound contact layer
Remove from the pack with sterile forceps and apply to the wound. Hold in place until covered by PROFORE #1.
PROFORE #1 natural padding bandage
Apply from the base of the toes to the knee using a simple spiral technique and 50% overlap. Use any leftover padding to further protect any bony prominences or to improve absorption capacity if the wound is heavily exuding.
PROFORE #2 light conformable bandage
Apply from the base of the toes to the knee, over PROFORE #1, using a simple spiral technique, apply at mid-stretch and 50% overlap. For maximum patient comfort, leave a slight border of PROFORE #1 visible to prevent subsequent bandages rubbing on the skin. Cut off any excess PROFORE #2. Use tape to secure.
PROFORE #4 flexible cohesive bandage
Apply from toes to knee using a spiral technique with 50% extension and 50% overlap. Apply the bandage at 50% extension around the foot to help prevent oedema and steeply across the front of the foot to reduce build-up of material over the front of the ankle. Following application, press lightly on the surface to ensure that the bandage adheres to itself.
Please see the Overview tab for Contraindications/Precautions