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Guide to Applying TED Hose

Apr 1, 2025

Applying TED Hose (Compression Stockings)

Introduction

  • Purpose: TED hose or compression stockings are used to prevent blood pooling and promote circulation in individuals who are typically immobile.
  • Scenario: Example of applying TED hose to a resident named Annie.

Steps for Application

  1. Preparation

    • Gather the necessary equipment: TED hose (usually available in the resident's room).
    • Knock on the door and wash hands for hygiene.
  2. Introduction and Privacy

    • Introduce yourself to the resident (e.g., "Hi Annie, I'm Myra. I'm here to put your TED hose on.").
    • Ensure the resident's privacy is maintained.
  3. Preparing the TED Hose

    • Ensure any writing on the TED hose is correctly oriented (not backwards).
    • Locate the heel marker on the hose.
  4. Application Techniques

    • Use one of the following methods:
      • Roll down the top.
      • Gather the hose down to the heel.
      • Turn the hose inside out, pinch the heel, and turn it inside out.
    • Gather sides of the hose to the heel if choosing the gathering method.
  5. Application Process

    • Confirm the heel marker is correctly placed (backside of the heel).
    • Stretch and check the heel position and ensure the hose is smooth with no wrinkles.
    • Pull the hose over the foot up to the heel marker. Adjust before pulling up further.
    • Ensure the hose covers the toes properly to avoid discomfort.

Types and Considerations

  • Types of TED Hose:
    • Knee-high
    • Thigh-high
  • Comfort:
    • Ensure smooth application without wrinkles.
    • Avoid tight bands around toes.

Timing and Usage

  • Application Timing:
    • Put on in the morning when swelling is minimal (as legs are at heart level).
    • Keep on during the day to provide compression as fluids may pool in legs.
  • Removal:
    • Typically taken off in the evening.
    • Rinse with soap and water, and hang to dry overnight.

Additional Notes

  • Footwear: Usually wear slippers over TED hose as the patients typically do not walk.
  • Importance of compression: Prevents blood pooling, aiding circulation back to the heart.