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Reflective Journal
Week 6
Tim Thomas
Professor KaUa'Alohi Aiu
Week 4: Evaluate and apply the facts and principles of biological,
psychological, sociological, cultural and spiritual functioning while
providing nursing care to clients with needs resulting from altered states
of wellness throughout the lifespan.
possible DVT. This article stated that at least 21 hours a day of ICD therapy is
needed to prevent DVT. It went on to say that patients who used the device for an
average of 13 hours a day had an increased incidence of DVT despite their partial
use. The article explains that thigh high and knee high compression stockings were
about the same in their effectiveness. But the knee high compression stockings
were preferred for several reasons. The advantage of knee high compression
devices is that they are less likely to become soiled and they are more likely to be
accepted and used by the patient. The article showed a clear advantage of knee
high SCDs vs the thigh high version. Not only are the knee high stockings more
patient friendly, they require less storage space as well. An additional advantage is
that the knee high versions are more environmentally friendly due to reduced
material that is one time use going which must be discarded and ends up in
landfills. I had heard of but never seen thigh high compression devices. After
reading this article it is more apparent to me why the majority of the ICD's in use
are the knee high versions.
Reference:
Stone A, Chamberlin L. EB96: Out With the Thigh-High, In With the Knee-High
Sequential Compression Devices. Critical Care Nurse [serial online]. April
2011;31(2):e37. Available from: Academic Search Complete, Ipswich, MA. Accessed
April 18, 2016.