Your doctor has prescribed anti-coagulation medications to prevent blood clots and increase the blood flow in your legs. Along with taking medications as prescribed, T.E.D. anti-embolism stockings will help prevent blood clots in the deep veins of the legs.
What are T.E.D. anti-embolism stockings?
- Commonly referred to as TED hose or stockings (Figure 1.)
- T.E.D. means thrombo-embolic disease/devices
- Anti-embolism stockings are long, tight fitting socks that keep mild, graduated pressure on the legs
- Proper size and fit is important in order for stockings to be effective
- Your nurse will assess the size and length of the stockings
- Your physician can offer guidance regarding knee high vs. thigh high stockings!
What is the purpose of TED anti-embolism stockings?
- The graduated compression of the stockings helps the blood to constantly move in the leg providing good circulation. This prevents blood from sitting idle which can lead to blood clots in the deep veins of the leg.
- Research has shown that using these stockings along with anti-coagulation medication, such as Coumadin or Lovenox, helps prevent deep vein thrombosis (DVTs-blood clots in the deep veins of your legs). They can reduce the risk in hospitalized patients by 55-70%.
- Inexpensive way to apply compression in legs in varying degrees (more pressure in the ankles)
- Wear stockings during your hospitalization and also after discharge, until your doctor tells you that you can remove them.
- Wear during the day and remove for hygiene and at night.
How to get into them with the help of a sock aide:
- A sock aide (Figure 2.) is used to put on socks or stockings so that you do not have to bend over to reach the feet or lift legs up to hands.
- While holding the sock aide between the legs stretch stocking over the device until the stocking meets the knots at the base of the sock aide (but not over the knots).
- Pull most of the material of the stocking as close to the knots at the base of the sock aid until the toe of the sock meets the end of the sock aide.
- The heel of the stocking should slide along the curve of the device.
- Place the sock aid is then placed on the ground while holding onto the pull ropes.
- Point the toes are then pointed straight ahead and placed into the opening of the device (Figure 3.).
- Pull the ropes up while keeping toes pointed forward trying to draw the device over your heel.
- The sock aide should slide up the foot and past the heel while pulling the stocking over the foot and into place.
- It is very important to remove the wrinkles by pulling stocking into place so that they do not hang loosely or cause constriction.
Helpful Tips: Rubber gloves may be worn if nails are long to protect the stocking and also aid in grasping the fabric. Feet and legs should be dry before putting on stockings. Baby powder may be sprinkled inside the sock aide to make it easier to slide stocking onto the leg.
Care and maintenance
- Wash in warm water (105° F / 40° C)
- Do not add bleach; use a delicate fabric detergent
- Rinse well and air dry
Agu, O, Hamilton, G, & Baker, D. (1999). Graduated compression stockings in the prevention of venous thromboembolism. British Journal of Surgery, 86, 992-1004)
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