Skin Breakdown and TED Stockings
- What is skin breakdown and what are some of the contributing factors?
- How is skin breakdown classified ?
- What anatomy is involved ?
- What role does the T.E.D. play in skin breakdown ?
What is Skin Breakdown ?
Skin breakdown or necrosis (death) of tissue occurs when oxygen and nutrients cannot reach cells at a site or sites on the body. The process causes tissue deterioration and eventual ulceration.
Factors contributing to skin breakdown include:
- Sensory impairment
- Decreased mobility
- Likelihood of friction or shear
- Deminished activity
- Presence or potential for prolonged moisture against skin
- Altered nutritional status
- Underlying disease process
How is skin breakdown classified ?
Stages of Pressure Ulcers:
Stage I. Nonblanchable erythema of intact skin, the heralding lesion of skin ulceration. In individuals with darker skin, discoloration of the skin, warmth, edema, induration, or hardness may also be indicators.
Stage II. Partial thickness skin loss involving epidermis, dermis, or both. The ulcer is superficial and presents clinically as an abrasion, blister, or shallow crater.
Stage III. Full thickness skin loss involving damage to or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia. The ulcer presents clinically as a deep crater with or without undermining of adjacent tissue.
Stage IV. Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures (e.g. tendon, joint capsule). Undermining and sinus tracts also may be associated with Stage IV pressue ulcers.
- Stage 1 - skin is reddened but still intact
- Stage 2 - superficial damage to the skin, blisters develop due to continuous action of pressure
- Stage 3 - skin is deeply damaged, an open wound develops and muscles, tendons and ligaments are exposed
- Stage 4 - the defect also involves the bone
Anotomy of Skin Breakdown
Terminlogy you may hear:
- Blackened heels
- Heel ulcer
- Pressure sores
Pressure Ulcers can occur anywhere:
- Bony prominences
- Pressure points
- Under casts
Roles of T.E.D. Stockings in Skin Breakdown
- T.E.D. are not believed to be a primary cause of skin breakdown
- When T.E.D.s are removed regularly (minimum every shift), the problem escalates
- If stockings are not sized, applied and maintained properly, they may contribute to the problem
Take a pro-active approach with T.E.D.s. In-service T.E.D.s on sizing, application and maintenance. This will help minimize any potential for skin breakdown.
Article LinksSee other medical related articles:
- About Futuro: Support Hosiery
- About Mediven Compression Stockings
- About T.E.D. Anti-embolism Stockings
- Compression Classes for Graduated Compression Hosiery
- Prevention of Deep Vein Thrombosis (DVT)
- Skin Breakdown and TED Stockings
- Taking good care of your legs
- TED Stockings: Proven DVT reduction through published peer reviewed clinical studies
- Tips and Tricks for Healthy Legs
- Veins of the Leg
- When a blood clot forms in the leg ... (.jpg, 119Kb) The Sunday Times, 30 December 2001
- CE Marking (European Medical Device Directive 93/42/CEE)