Complete Decongestive Therapy & Compression Bandaging Flashcards

Measuring limb volume for lymphedema assessment can be done by all of the following EXCEPT:

Answer: Skin temperature measurement

Skin temperature measurement assesses circulation and inflammation but does not measure limb volume, unlike volumetry, circumferential measurement, and bioimpedance.

The 'finger bandaging' technique in hand and finger lymphedema uses:

Answer: Narrow 2-cm short-stretch bandages applied in spiral fashion

Individual fingers are bandaged with narrow 2-cm short-stretch bandages applied in a spiral pattern from fingertip to MCP joint before forearm bandaging.

Low-stretch bandages are reapplied daily during the intensive phase primarily because:

Answer: Limb volume reduces quickly and loose bandages lose therapeutic effect

As edema reduces rapidly during intensive treatment, bandages become loose and must be reapplied to maintain therapeutic pressure.

What does the term 'compression garment compliance' refer to in lymphedema management?

Answer: The patient's consistent daily use of prescribed garments

Compliance refers to the patient's adherence to wearing compression garments as prescribed, which is the single greatest predictor of long-term maintenance success.

Night bandaging is preferred over compression garments during sleep because:

Answer: Short-stretch bandages provide low resting pressure that is safe overnight without movement

Short-stretch bandages have low resting pressure, making them safe to wear overnight, while circular-knit compression garments have high resting pressure that can restrict circulation during sleep.

Self-bandaging education for lymphedema patients in Phase II should include:

Answer: Instruction in proper bandage application, layer order, gradient pressure, and signs of problems

Comprehensive self-bandaging education ensures patients can independently manage their condition, including correct technique, safety monitoring, and problem recognition.