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.