Jane Todhunter, JCN 2017, Vol 31, No 4.

Main findings

• Different compression options may be suitable for different patients, depending on the clinical challenges presented.
• Self-adjustable Velcro compression devices may represent an effective alternative to either compression bandages or hosiery. In addition, they aid self-management with significant related cost-savings.
• This article looks at the use of JOBST® FarrowWrap® garments, as an alternative to compression bandaging in the presence of lymphovenous disease combined with tissue loss.
• The stiff fabric provides superior augmentation of the calf’s natural muscle pump action and delivers a low resting pressure and high working pressure, which aids venous and lymphatic return. ­
• The cases included here show how involving patients in their own care and decision-making, providing them with a choice of therapy, education and ongoing support, can foster self-management and empower patients.