Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Clients Education for Secondary Prevention
  1. Inform the client of measures to prevent recurrence after healing:
    • daily wear of compression stockings, cared for as per manufacturer’s instructions and  replaced at a minimum every six months;
    • discouragement of self-treatment with over-the-counter preparations;
    • avoidance of accidents or trauma to legs;
    • rest periods throughout the day with elevation of affected limb above level of heart;
    • early referral at first sign of skin breakdown or trauma to limb;
    • need for exercise and ankle-joint mobility;
    • appropriate skin care avoiding sensitizing products; and
    • compression therapy for life with reassessment every 6 month.