Upper Extremity - Stage 2 - Unstable

Definition: Failure of consistent compression and reduction with CDT and compression intervention

• Adjustable compression tolerated and achievable for consistency Containment choice:

Day Compression:

Compression choice:

• Adjustable compression tolerated and achievable for consistency

Containment choice:

Juzo Reversa Compression Wrap & Soft Compress:

• Product Options:  Reversa Compression Wrap CG (sleeve), Reversa Compression Wrap AC (gauntlet), Soft Compress CG (sleeve)

Juzo Night:

• Product Options: Night ACG (sleeve)

Night Compression:

Mandatory:

• Optimize treatment outcomes by using a night compression garment.

Juzo Reversa Compression Wrap & Soft Compress:

• Product options:  Reversa Compression Wrap CG (sleeve), Reversa Compression Wrap AC (gauntlet), Soft Compress CG (sleeve)
• Indicated when firmer fibrosis is slow to change

Juzo Night Garment:

• Product Options: Night ACG (sleeve)
• Indicated when firmer fibrosis is slow to change

Tips:

• These patients have difficulty/inability to manage consistent compression for the fluid and have significant fluctuations in size not appropriate for knit garments at this time: compliance issues, active disease (cancer, tumor, etc), limited mobility, limited assistance, medication interactions, post-operative swelling (see below)
• The goal for unstable patients is to get them stable for knit garments designed to maintain stable limb size. They are prescribed with compression classes listed below:
  • Class 1: 20-30mmhg seamless due to unstable edema such as post-operative or trauma, heaviness but absent fibrosis
  • Class 2: 30-40+mmHg fibrosis present, pitting & restricted ROM due to volume, high BMI
• USA Only: Use of a pressure monitor can accurately give pressure objectives
• Watch a video demonstration on how to measure upper extremities.
• Access educational resources via Juzo Academy.
• Compression 101