compression in indian villages ilf p pt
TRANSCRIPT
Over 7 million morbid cases LF distribution in India
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Courtesy : NVBDCP, New Delhi
Ayurveda Biomedicine Yoga
CounselingCompression
Therapy
Integrative Treatment
Patient Education
Home based and Self-care Treatment
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Cotton and rubber
thread:
-300% extensibility
-100% elastability
Priced at 4.5 per unit
Durability: 2 weeks
30 companies
manufacture but only
one meets quality
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We get them when
donated from Europe
Mr. Gerban , Schrale, Physiotherapist
Ms. Malou van Zanten, a skin care therapist
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Choky bagSandwich mould
T mould
CCF mould
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MCR
sheet is cut
and made
into
moulds
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Prevents constriction and facilitate free flow of lymph
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CCF Mould
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Cholky bag
Sandwich mould
Step 1: Toe compressionStep 3: Cloth wrapping
Step 4: Placing CCF sheet
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Step 2: Placing sponge mould
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Cotton cloth
wrapping
Protuberances
sagging from thigh
region
Long stretch
bandaging in figure
of 8 method Bandaging up
to thigh
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Sagging oedema
below knee region
Prone position with leg
bent backward
Compression of the
sagging region
Foot compression in
Supine position
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Cotton cloth
wrapping
Toe and foot compression in
sitting position
Compression given with other
limb flexed
Forefoot compression
Double layer compression
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Half compression
Full compression
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Mid thigh compressionHalf- half compression
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Challenges of compression therapy
in resource poor Indian village
Work ambiance
Size and shape
No support from family
illiteracy
Availability of product
Bony deformities of
limb
Upper and lower limb
involvement
Previously operated
limb
cost
Co-morbities and
complications
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By using Maximal Bulk of the limb ,one
of the 8 girth measurements, we estimate
the no. of bandages.
The regression model for estimating no.
of compression bandages needed is
E.g.., if maximal bulk is 45 cm, no. of
bandages needed for that patient are 4.
Using Math lab software
• Co-morbidity and complications
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• Co-morbidity and complications
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• Co-morbidity and complications
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Excoriation
Constriction
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Friction induced blisters due to MCR mould placed directly
over the skin
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Bullous formation due to friction of long stretch
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Excoriation caused by sponge moulds used to separate crevasse
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Rolling back of long stretch bandages in upper part cause
constriction effect
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Slipping of compression bandages in to large crevasses cause constriction
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Footwear used pushes the bandages backwards causing constriction
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Evaluation
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Alleppey
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Alleppey
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Gulbarga
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Gulbarga
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IAD
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IAD
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Occupation Daytime Night
Fisherman Not doing 5 hrs
Coir worker Not doing 6 hrs
Manual laborers Not doing 8 hrs
Driver 10 hrs 6 hrs
Pensioner 8 hrs 1 hr
Unemployed 5 hrs 10 hrs
Govt. employees 8 hrs 8 hrs
Housewife 10 hrs 6 hrs
Farmer/ Coolies in dry
land
8 hrs 5 hrs
Business people 10hrs 10hrs
Barbers 10 hrs 6 hrs
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Foot end elevation while resting at work
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