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International Angiology 2021 Mar 19

DOI: 10.23736/S0392-9590.21.04580-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Limitations to self-management of adjustable compression wraps in the elderly: results of a prospective cohort study

Florence BALET 1, Jean-Patrick BENIGNI 2 , Jean-François UHL 3, Maxime CHAHIM 3, Pascal FILORI 4

1 Private Practitioner, Pélissanne, France; 2 Pedagogical Support Office, Faculty of Medicine Pitié-Salpétrière, Sorbonne University, Paris, France; 3 Urdia Research Unit, Paris Descartes University, Paris, France; 4 Private Practitioner, Marseille, France


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BACKGROUND: Adjustable compression wraps are used for treating lymphedema and chronic venous insufficiency. These diseases often affect elderly patients with associated pathologies or other limiting factors. These can prevent the self-application of the device by patients on themselves. A better understanding of these factors or the associated pathologies in the elderly is important before prescribing or not prescribing a wrap.
METHODS: The objective of this prospective cohort study was to determine the main factors that prevent the self-application of the device (Circaid JuxtaliteR) to the lower limb in the elderly. A private nurse selected the first 30 retired subjects over 65 years of age seen at home for routine nursing care. After a demonstration, she asked them to put on the wrap in order to reach a pressure of 40 mmHg in the calf (point B1). She recorded the pressures as the subjects applied the wrap twice in a row. The next day, the subject repeated the application of the wrap twice. We considered that an average pressure of more than 30 mmHg is recommended to treat venous edema or ulceration.
RESULTS: 30% of the subjects put on the wrap by themselves with an average pressure of at least 30 mmHg. Age is not a limiting factor. Obesity, gripping difficulties, cognitive impairment and low social status seem to be factors limiting the daily self-management of an adjustable compression wrap in the elderly.
CONCLUSIONS: The self-management of adjustable compression wraps in the elderly person encounters obstacles that need to be known. The investigation has revealed that obesity, gripping difficulties, cognitive impairment and low social status are limiting factors. Age was not shown to be a limiting obstacle.


KEY WORDS: Adjustable compression wraps; Aging; Compression pressure; Self-application; Lower limbs

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