Venous haemodynamics and the effects of compression stockings

Over the years, graduated compression stockings exerting varying ankle pressures have been used with differing degrees of effectiveness in the prevention of deep venous thrombosis and ulcer recurrence, and the treatment of venous ulceration (Stemmer et al, 1980; Partsch and Horakova, 1994; Veraart et al, 1997). Whether in the hospital or community setting, nurses often have the responsibility of measuring the limb and fitting the compression stocking on the patient and it is he/she who often influences the patient on the type of stocking and level of compression required. Understanding the influence of graduated compression on the venous haemodynamics of the lower limb and having a good working knowledge of the claims of the manufacturers as to expected levels of compression from each garment will aid the nurse and patient in decision making. An awareness of the hazards of inappropriate use of compression therapy should ensure that the nurse is a safe practitioner.