Unna Boot Bandages & Dressings | Primer Unna Boot - Profore - Unna Flex - Surepess - Gelocast Unna Boot
Items 1-16 of 29
Items 1-16 of 29
Unna Boot Application
What we're doing today is we're putting on an Unna Boot dressing. Now, Unna Boot dressings are designed for people that have chronic swelling on their legs, at least pain or actual sores and they will develop sores that will weep. By putting on this dressing, it actually reduces the swelling and allows that area to heal.
The second reason why we use this is if people have a foot sprain or an ankle sprain. We'll talk about how we apply. Those are slightly different. The fact, they don't go quite as high but the application process is exactly the same.
We're going to need three things. You're going to need the Unna Boot itself, which I'll show you in a moment. This is nice, cold dressing that we have in the fridge back here at the office. I will show you where to get that. Two, we have cast padding and three we have Coban. We have different colors. If the patient wants something special, we can definitely make that happen for them.
First and foremost, we're going to open this. This is the dressing here. You can see it's got a lot of this paste on it. I don't know if you can see that in the camera. But that paste is going to get on everything. So you don't get it on your clothes. Make sure the patient's far enough away from the table so we're not getting that on, all right?
Now when we apply this, we want to apply to reach the edge of the toes. If you leave any of the foot exposed, all that chronic swelling is going to work its way right down to that patient's foot and it can be very uncomfortable. What we're going to do is we're going to roll this on and each time you go around, you noticed how I make a little crease and what that does, it does allow for some swelling.
I'm just basically gently rolling us on. This is never applied extremely tight. But I almost forget that. First started, what you're going to do is you're going to basically fold it and every time you come along the top of the foot and the ankle. The rest of the leg, I'm not worried about. But in this location, if they do swell, this provides a little bit of leeway if you want to do that.
Now what we want the patient to do is try to hold their foot in about 90 degrees while we're doing this. It looks like he's doing a good job doing that. I'll continue to do this overlap all over the ankle.
Now for some patients that have very large legs, they may require more than one of these Unna Boot dressings, so I'll just have to gauge it once you get to that point, we may have to get more.
But make sure your calf is tied in the entire foot, the bottom of the heel, the back of the ankle. Typically, once I get beyond this point or I'm right at the level of the ankle, I don't continue to fold this. They're like we'll do just fine. You just don't put it on too tightly.
Now if there are patients that had sprained their ankle or their foot and that's why it's isolated that area, what I'll do is I'll go right below the level of the calf muscle. I can stop there. The important thing when talking about that is that when you do that, you make sure it's not extremely tight in that area,okay?
You don't want to see tension on this. You just want to have a little bit of pressure as we get there and you can stop right above there. And obviously, if you have any excess, you will just continue to go back down.
Now, if this is a patient who's having a chronic wound, what we're going to do is we continue to go up to the same level we go for a cast so you just basically half overlap as you go the previous roll up to a level above the fibula. The fibula is right here. There's a slight notch below it and we've already established that right about here is on top of that.
We're never going any higher than that because if you don't go over the top, if the patient has chronic swelling, it'll just swell over on the top of that. It's going to be extremely painful. And it will also, put some arteries to get blood clot in their leg and that's not the phone call we like to get. Try to drop that too. It makes it a lot easier.
The next thing we're going to do is we're going to apply the cast padding. These three layers that we talked about all work together to do a better job of pumping that fluid out. What you want to do is you're going to try to cover just over the edge of that Unna Boot. If you don't, the patient's going to put on their sock or they put on their shoe and it's going to come off onto that clothing, that shoe here.
Same thing when you cast,you're doing half overlap as we go up and always come back and cast more if we need to. Make sure we don't have any wrinkles. And then we're going to finish. On my hands are all this calamine off, I need to take my gloves off at this point so I'm getting it all over there.
Their color, a nice green Coban. What we're going to do is we're going to wrap this around everything else. This provides some light compression. This is like an ace bandage. What we don't want to do is you don't want to put this on very tight. If it starts becoming translucent, it's because you're pulling too firmly. And just gently apply.
In this case, you watch as I rolling it on. I always pull extra out to get that next wrap around. It's very important at this point to make sure that their foot is at about 90 degrees because if they are walking in a boot or a shoe, what's going to happen is that it will wrinkle up in front of their ankle when they bend their foot and then it becomes very uncomfortable or even creates a sore. So diabetic patients, they can't feel that.
And often, you'll need more than one of these rolls. You don't want to run off. Make sure there are no wrinkles. In this case, I left one there. You complete this all the way to the top and then you can see we're not wasting any more material. We'll just stop there.
But again, you would continue with this all the way to the top just like we did at the bottom here and that's what we call the Unna Boot dressing. Now patients, will always need what we call Protex limb cover for this. It's just for their showering purposes.
It has a little drawstring on it. They may refuse that. But in either case, they have to keep this dry so they can be instructed that after they have this applied, whenever they take a shower,it has to be protected and if it gets wet, pull this off right away. That's the Unna Boot.