Applying Compression Stockings

This is a video of directions to apply compression stockings.
https://www.youtube.com/watch?v=AwyIeRYM608

Master the Care

Key Observations and Care Guidelines

Reportable Observations

  • Inability to complete the task.
  • Change in client condition.
  • Open sores on feet or legs.
  • Discoloration of feet or legs.
  • Coolness of feet or legs.
  • Changes in movement or sensation of feet or legs.
  • Increased swelling in lower limbs.

Storage Space

  • 1 Cupboard beside or above fridge
  • 2 Cupboard beside or above kitchen sink 
  • 3 Lock box
  • 4 Client:  __________    Date: _______________

Goal

  • To improve circulation in lower legs and to control swelling (edema).

Supplies

  • Clean stockings
  • Satin application sock (optional and if client has one)
  • Rubber gloves (optional)

Schedule

  • Apply stockings in the morning before leg swells or after the client has lain with legs up for 15–30 minutes.  If applying lotion to leg(s), do so at bedtime after removal of stocking(s).

Applying Compression Stockings

Procedure Rationale
Remove your rings and jewelry.To prevent skin damage to client and to prevent cross infection.
Wash hands.To maintain cleanliness as per standard precautions.
Gather supplies and assemble on a clean, dry surface.To complete a task in an organized manner.
If needed, wash client’s feet and lower legs. Dry well. Pay special attention to drying skin between toes.To ensure skin is clean and dry and to promote circulation.
Turn the stocking inside out and hold on to the heel.To keep track of front and rear of stocking
Place stocking over foot to ankle, stretching sideways.To ensure you do not scratch the skin.
Apply gloves with bumps on fingers.To ensure you can 'walk' the stocking up the leg without scratching the client.
Walk glove up the leg, removing wrinkles as you go.To prevent pressure areas on the skin.
End about 1–2 inches below the knee. Do not encircle the leg, but point fingers upward toward the groin area.To ensure there is sufficient space below the knee for comfort during bending.
Repeat the procedure for the opposite leg.To ensure safety maintained. Do not apply stockings if open areas apparent on the legs. Notify nurse.
Document as needed.To ensure that continuity of care is maintained.