Which factors contribute to patient compliance with compression therapy for stasis dermatitis?

Updated: Mar 27, 2020
  • Author: Scott L Flugman, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Counseling patients regarding the use of compression therapy is vital to the successful management of stasis dermatitis. Although the benefits of compression therapy are widely recognized, patient noncompliance with regard to compression stockings remains a major barrier to treatment. Difficulty in stocking application and patient concerns about appearance are among the reasons why patients may fail to comply with this therapy. [36]

In addition, patients frequently resist the idea of using compression dressings and/or stockings because these modalities may cause considerable discomfort when first applied to edematous, inflamed lower extremities. However, it is important to reassure patients that the discomfort lessens considerably as leg edema is reduced and to inform them that this therapy must be maintained permanently in order to prevent a recurrence of dermatitis and leg ulcers.


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