CAUTION: Before applying the first bandage, it is important to check the following:
- Assess the patient to rule out arterial disease. The use of Doppler ultrasound is recommended.
- Measure the ankle circumference to confirm that it is greater than 18 cm or 7¼ inches (padded).
- Check if the patient's ankle circumference has changed due to a reduction in edema. Always re-measure after the initial treatment period.
- Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well-protected using the PROFORE Lite #1 padding bandage.
Apply PROFORE Lite in the following sequence:
It is important to check the following Wash and dry the leg and apply a moisturizing cream to the unbroken skin.
Apply the PROFORE WCL dressing. Apply the PROFORE WCL sterile wound contact layer directly over the wound surface. If the wound is larger than the contact dressing, PROFORE WCL dressings may be purchased separately. The contact dressing will not stick to the surface of the wound, and when the wound begins draining after compression is applied, the drainage will pass through the contact dressing to be absorbed by the padding layer.
Apply PROFORE #1 Absorbent Padding Bandage. With the foot flexed to 90 degrees, apply from the base of the toes to the knee using a simple spiral technique and 50% overlap. Do not apply tension. Ensure that bony prominences are padded so that the ankle measurement is greater than 18 cm or 7¼ inches. Any leftover padding may be applied directly over the wound to absorb more wound drainage.
Apply PROFORE #2 Light Conforming Bandage. Keeping the foot flexed to 90 degrees, apply PROFORE #2 from the base of the toes to the knee using a simple spiral technique and 50% overlap. Ensure that the heel is completely covered. Secure at the top with a piece of tape or ask the patient to hold it in place.
Apply PROFORE #4 Cohesive Compression Bandage. Keeping the foot flexed to 90 degrees, apply PROFORE #4 from the base of the toes to the knee using a simple spiral technique with 50% overlap and 50% extension. Ensure that the heel is completely covered. PROFORE #4 will adhere to itself and no tape is necessary to keep it in place. However, for added security, a piece of tape may be used for reinforcement.
Please see Overview tab for Contraindications/Precautions