Author: Chris Iliades
Medical reviewer: Farrokh Sohrabi, MD
Please list the references and clinical resources that you use in your review of this document. These references should support any clinical or extensive revisions or additions that you make. Aside from known common best practices, references are required. We reserve the right to request additional references. References and resources used:
Circulation, Stratified Meta-Analysis of Intermittent Pneumatic Compression of the Lower Limbs to Prevent Venous Thromboembolism in Hospitalized Patients, http://circ.ahajournals.org/content/128/9/1003.long
(Accessed 7/11/16)
Lymphology, Intermittent Pneumatic Compression Therapy: A Systematic Review, https://www.alfp.org/docs/systematic%20review_intermittent%20compression%20therapy.pdf
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A sequential compression device is an inflatable cuff that you wear around your leg or foot. The device works like the muscles of your leg by compressing your blood vessels. It inflates at a programmed rate to force old blood out of your legs and let in freshly oxygenated blood.
You may need this device if your legs are swollen from poor circulation. You may also need it to prevent a blood clot from forming in your legs. Blood clots can form in your legs if you are on bed rest at home or in the hospital. Blood clots in your legs can travel to your lungs (pulmonary embolism) and cause life-threatening problems.
To use the device, you lie still while the cuff inflates around your leg. Your health care provider will decide when you should use the device, how often it will inflate, and how much pressure it will apply to your leg.
WHAT ARE THE RISKS OF USING THIS DEVICE?
Risks of using this device include:
• Irritated or sore
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If the device puts too much pressure on your legs, this nerve may temporarily stop working normally. If this happens, your ankle will feel numb or weak.
• Developing a condition in which too much pressure on your leg makes it hard for blood to reach the muscles of the lower leg (compartment syndrome). This condition can result in an injury to your leg muscles. This is a rare complication.
WHAT ARE THE BENEFITS OF USING THIS DEVICE?
The main benefit of using this device is improved circulation in your legs. Using the device may:
• Reduce swelling (edema) in your legs.
• Improve healing if you have leg or foot ulcers from poor circulation.
• Lower your risk of a blood clot and of pulmonary embolism.
• Help you start walking and recovering sooner after surgery or bed rest.
WHAT ARE SOME OTHER WAYS TO PREVENT BLOOD CLOTS?
Other ways to prevent blood clots in your leg include:
• Taking a blood-thinning medicine
• Wearing compression
Studies have shown taping an ankle can limit range of motion if done correctly.1, 5 Another study done by Reut...
Qiao T, Liu C and Ran F. (2005) The impact of gastrocnemius muscle cell changes in chronic venous insufficiency. Eur J Vasc Endovase Surg 30; 430-436.
“Chronic diseases and illnesses are the leading causes of death and disability in the United States” (CDC.gov, 2014). These types of illnesses are the most common health problems that people in this country face today and they are also the most preventable (CDC.gov, 2014). Every year the cost to help care for and manage people with these types of illnesses increases and there is less being done about educating people about prevention. Venous Thromboembolism is one such chronic disease that is very deadly but also very preventable if the right precautions are taken. This paper will aim to educate about the disease, courses and costs of treatment, clinical microsystems that are involved and what barriers if any exist to achieving generative relationships among the various clinical microsystems involved.
I learned from this article that pneumatic compression stockings and anti-embolism stockings can also be used instead of ankle exercise. As the article stated, "anti-embolism stockings, pneumatic compression stockings, and anticoagulants will help prevent the deep vein thrombosis” (Pellino, 1994). Moreover, the article also discussed a lot of other helpful interventions to assist the patients with hip fractures, including assessing the patient's skin integrity and applying moisturizing lotions. In sum, this exercise has significantly increased my understanding about taking
Instead, if you sit at a desk you can do lower body workouts. For example, leg lifts because raising the legs increases circulation and helps strengthen the muscles. Start by sitting up straight in your chair. Raise one or both legs so it is straight and pointing away from the body. Count to five then put them down or switch legs. Increases the length of time you hold your leg in front of you or the number of reps you do to increase the difficulty. Stretch your calves. While sitting, lift up your legs on the balls of your feet and set them down. Repeat until your legs are comfortably tired. Repeat about 10 minutes later, and continue doing this routine for about an hour or so. This will exercise your calves, and will help prevent blood clots from developing in your legs. Blood clots are very common among computer users. These are exercises which can all be done as you are
When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most resent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement from the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.
3. If over pronation is not prevented then knee pains, heel pain, or lower back injury may occur.
A PE usually begins as a clot in a deep vein of the leg, which is called deep vein thrombosis. This clot can break and travel through the bloodstream to the lungs and block the artery. Blood clots can form in the deep veins of the legs if blood flow is restricted and slows down. This can occur when you don’t move around for long periods of time. Some examples that can cause this are some types of surgery, during a long trip in a car or airplane, and if you must stay in bed for an extended period of time. Under rare circumstances an air bubble, part of tumor, or other tissue travels to lungs and causes ...
Loosen the brace if your toes become numb and tingle, or if they turn cold and blue.
Frequent repositioning and progressive mobility have been shown to provide significant benefits to hospitalized patients. Recently released guidelines from the National Pressure Ulcer Advisory Panel (NPUAP) recommend repositioning all patients at risk of pressure ulcers, unless medically contraindicated. Using Leaf’s wearable patient monitors, we now know when a patient has been turned and how that patient has been turned.
If no pulse is present, give five chest compressions. To achieve effective compressions, the child should be supine on a hard, flat surface. Use one hand to maintain the position of the head. With the other hand, use two fingers to trace the lower margin of the rib cage. Find where the ribs and sternum meet, avoid doing compressions in that notch. Place the heel of your hand over the lower half in the sternum, between the nipple line and the notch. Compress the chest approximately one to one and a half inches. Follow the compressions with one slow breath.
Please list the references and clinical resources that you use in your review of this document. These references should support any clinical or extensive revisions or additions that you make. Aside from known common best practices, references are required. We reserve the right to request additional references. References and resources used:
There are an estimated 6.5 million stroke survivors in the country. Twenty percent of stroke survivors suffer from foot drop, the inability to raise the foot (WLS-TV Chicago, 2010). Lower limb hemiparesis and foot drop affects gait, which can have an impact on normal daily activities. One of the main goals of patients with hemiparesis is to be able to walk independently and return to their normal activities. Physical therapists know that poor gait from ankle and /or knee joint problems can affect the pelvis, lower back, spine and neck as the body tries to compensate for the defective gait. Using electrical stimulation to treat hemiparesis and foot drop can help a patient achieve functional gait and return to their normal activities.
JAMA: Journal of the American Medical Association. 14 Nov. 2001: 2322. Academic Search Complete. Web.