– Make sure of keeping a one-hour break between morning and
afternoon sessions.
Size Changes During Compression Therapy
Record daily measurements for the residual limb in the treatment chart
template to follow treatment progress. Fill in other information in the
treatment chart template as applies.
As oedema decreases, change the liner size to provide continuous
compression treatment. Measure the residual limb as stated above and
choose proper liner size.
The patient may require 3–4 different liner sizes during the first 3 weeks
of compression therapy.
Depending on success of compression therapy provided by the liner, the
residual limb may be ready for prosthetic fitting.
In case of trans-tibial amputation, the last liner used for compression
therapy can be used for prosthetic fitting and the following interim
supply.
NOTE:
– If the size change leads to notable discomfort for the patient, use
the previous larger size instead until the next day.
– Treatment is optimal if compression time is identical when
changing from liner to liner. The patient should always decide on
the length of the treatment, if able to do so.
CLEANING AND DISINFECTION WITHOUT STERILIZATION
Clean, disinfect and inspect the liner before first use and twice a day,
after removing the liner from the amputee.
Manual Cleaning and Disinfection
1. Turn the liner inside out and wipe the surface with alcohol-
impregnated wipes until completely wet. Allow to dry.
2. Turn the liner back to normal shape and repeat the procedure on the
outer surface.
PRECAUTIONS:
– Only use ethanol or isopropanol solutions for manual cleaning of
the liner.
– Only use a washing disinfector if the liner will be sterilized
afterwards. If the liner will not be sterilized, only clean and
disinfect manually.
Liner Inspection
1. Check the liner for visible contamination and tears in the silicone
layer.
2. Dispose liner if any tears are visible in the silicone layer.
3. If any contamination is visible, repeat manual cleaning and
disinfection (see above).
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