Essay: Safe Use of Thromboembolic Disease Stockings (Teds)

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¶ … safe use of thromboembolic disease stockings (TEDs)

The aim of this report is to review a current practice for the safe use of TEDs (thromboembolic disease stockings) within the surgical care setting. The paper reveals that TEDs anti-embolisms stockings assist in preventing and managing the Deep Vein Thrombosis (DVT). Despite the benefits of TEDs stockings within the clinical setting, there are still contraindications in its use, which could affect its safe use. The study collects data from various medical databases, which include, CINAHL (Cumulative Index to Nursing & Allied Health), EBSCO- Medical databases -- Biomedical Library, U.S. National Library of Medicine National Institutes of Health, PubMed, and Sage Publication. The keywords are used to search for appropriate data to complete the study.

The data analysis is carried out to enhance reliability and validity of the data. The research findings reveal that nurses could achieve patient's outcome if they assist patients to use the correct TEDs stockings within the clinical unit. The study recommends that there is a need for further research on the strategy to enhance the safe use of TEDs anti-embolism stockings.

Abstract

Content Outline

1.0: Introduction

1.1: Aim

1.2: Scope

1.3: Background to the Study

2.0: Data collection

3.0: Analysis of Data

4.0: Conclusion

4.1: Recommendations

References

1.0: Introduction

The focus of this project is to review the current practice for safe use of TEDs (thromboembolic stockings) within the surgical care setting. TEDs (Thromboembolic Disease Stockings) are the anti-embolism stockings that are clinically proven by physician to reduce the risk of developing DVT (Deep Vein Thrombosis ). A DVT is a disease that leads to blood clots and generally occurs within the vein of the leg. DVT generally occurs after a patient has undergone a surgery or has experienced a long period of bed rest in the hospital. A symptom associated with DVT is blood clots and could travel from the vein to heart. If the clot becomes loose, it may block a patient's major blood vessel. A blood clot that leads to the blocking of patient's blood vessel is known as PE (Pulmonary Embolism).

TEDs anti-embolisms stockings widely being advocated to prevent deep vein thrombosis (Covidien, 2012) and they assist in improving blood circulation in the leg veins. The major benefits of TEDs graduated elastic compression stocking is that they generally reduces the risk of DVT by increasing venous velocity within the deep veins.

"TEDs graduated elastic compression stockings have been designed to deliver a gradient of external pressure, which is highest in the ankle region and lowest in the upper thigh region. These pressures are defined as 18 mniHg at the ankle, HnimHg nt the calf, 8 mmHg at the knee, lOmmHg at the lower thigh and 8 mmHg at the upper thigh, although these can vary slightly depending on the hosiery manufacturer." (Walker, Lamont 2007 P. 41).

TEDs Anti-Embolism Stockings consist of:

"Thigh Length Anti-Embolism Stockings with Belt (Latex Free),"

"Thigh Length Anti-Embolism Stockings,"

"Knee Length Anti-Embolism Stockings (Latex Free),"

"Continuing Care Anti-Embolism Stockings (Thigh Length)." (Covidien. 2012 P. 2).

"Continuing Care Anti-Embolism Stockings (Knee Length)."

Patients are generally recommended to wear TEDs for two weeks from the day of surgery or the day patients are ready to be admitted to the surgical care units. However, the issue is not the general use that actually causes harm to patients, the issues is the safety of anti-embolism stockings for patients.

While "anti-embolism stockings continue to be widely prescribed. However, there is a limited attention to possible contraindications or complications. There is also poor provision of education and information, poor monitoring and poor documentation regarding their use." ( Miller, 2011 P. 553).

More importantly, there is a paucity of studies on the safe use of TEDs within the surgical clinical units. The study attempts to fill the gap by collecting data on the importance of TEDs for surgical and post-surgical patients and how its wrong use could cause harm to patients. The report provides the scope on the overall contents that will be covered, and the background of the report reveals the issues that nurses observed and identified while working within the surgical units. Typically, it is apparent that patients could suffer from wearing the wrong stockings after clinical surgery. The report also carries out the data analysis by critically discussing the published literatures relevant to the study. From the analysis of the paper, the report provides various Recommendations that would assist nurses to observe the safe use of TEDs of anti-embolism stockings within the clinical units.

1.1: Aim

The paper achieves the following aim:

To review a current practice for the safe use of TEDs (thromboembolic disease stockings) within the Surgical Care setting.

1.2: Scope

The scope of the report covers the current use of TEDs (thromboembolic disease stockings) within the Surgical Care setting. The report also reviews the current practice for the safe use of TEDs. It is essential to realize that the safe use of TEDs is very important to enhance prevention and management of DVT. The report covers the use of TEDs within the clinical practice. Essentially, there are also indications and contraindications with references to TEDs, and the benefits associated with TEDs is that it generally prevents the formation Deep Vein Thrombosis, which assists in increasing the blood flow velocity in the legs. More importantly, the report covers how the use of TEDs could affect the patient's outcome, and the report provides the recommendations on the safe use of TEDs within the clinical unit. However, the study identifies some contraindication of TEDs; however, the study does not provide elaborate discussion on TEDs contraindication, which reveals that TEDs should not be recommended for patients:

with extreme leg's deformity with severe arteriosclerosis or With ischemic vascular disease.

TEDs are not also suitable for patients with massive legs' edema (swelling) or patients with pulmonary edema caused by congestive heart failure.

1.3: Background to the Study

In the United States, Europe and other countries around the world, anti-embolism stockings are widely used in preventing deep vein thrombosis. The DVT and pulmonary embolism (PE) are the form of diseases leading to the blood clot within the veins of the legs, which eventually cause pain, swelling and tenderness of the leg. Typically, hospitalized patients are 100 times more likely to develop DVT or PE compared to people not hospitalized. Yearly, up to 30,000 people are hospitalized in Australia because of consequence of DVT or PE. However, the DVT or PE cases could be prevented with the use of TEDs graduated compression stockings. (National Health and Medical Research Council, 2009).

Despite the importance of TEDs in enhancing the blood circulation, safe use of anti-embolism stocking has become challenging within the surgical care unit. Nurses, and doctors are the major players in the patient's outcomes, and the safe use of TEDs is very critical to enhance healthy outcomes of patients. However, nurses are increasingly observing some issues while working in the surgical units of private hospitals. Some of the issues identified within the surgical units that could cause harm to patients with the use of TEDs include:

wrong measurement of patient's leg or calf;

wrong size stockings nurses are not sure how to deliver the accurate measurements, calf or leg after surgery swells, another pair of TEDs need to be fitted;

TEDs difficult to apply too tight wear;

too big and cause harm to patient;

patient not complying with nursing instruction;

Not wearing the TEDs again after shower.

Based on the issues identified, the study attempts to overcome the challenges with the wrong use of TEDs by reviewing the safe use of TEDs within the Surgical Care setting. The data collected through the literature analysis assists the study to identify the safe use of TEDs with the clinical units.

2.0: Data collection

This section discusses the method of data collection, which involves the strategy that the study uses in collecting data to complete the study. The study collects data from various academic databases, which include:

CINAHL (Cumulative Index to Nursing & Allied Health)

EBSCO- Medical databases -- Biomedical Library,

U.S National Library of Medicine National Institutes of Health,

PubMed;

Sage Publication,

The study sources for high quality data from the medical database. CINAHL is one of the important databases that the study uses to source for data. CINAHL contains comprehensive number journals and research articles relevant to DVT and TEDs anti-embolism stockings. The report takes the advantage of easy-to-use interface that CINAHL delivers to search for reliable research articles relevant to study. The CINAHL contains indexing of more than 1,700 nursing and allied journals and publications that contain more than one million records. The CINAHL database contains research papers on biomedicine, nursing, health sciences, alternative complementary medicine, and other 17 allied health disciplines. Among examples of the topics covered by CINAHL, include.

Deep Vein Thrombosis (DVT),

PE (Pulmonary Embolism),

Thromboembolic Disease Stockings and,

Effectiveness of TEDs in managing Deep Vein Thrombosis.

Moreover, the CINAHL database offers access to health and nursing dissertation on Deep Vein Thrombosis (DVT), PE… [END OF PREVIEW]

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