Compression bandages are used to treat swelling and to help heal certain leg wounds, particularly venous leg ulcers. They are very effective when used correctly, but they can cause harm when used on the wrong person or applied incorrectly. This guide explains the main compression bandage types and the safety points aged care teams should know. It is general information, not clinical advice: compression therapy should only be started after assessment by a suitably trained clinician and applied by trained staff, following your facility's policy.

Why assessment comes first

Before compression is applied, a clinician usually assesses the person's overall health and the blood supply to the leg, often including an ankle-brachial pressure index (ABPI) or similar test. Strong compression on a leg with reduced arterial blood flow can damage tissue, so compression should never be started on a guess. Anyone unsure should ask a wound care nurse or GP.

The main compression bandage types

Type	How it works	Things to check
Short-stretch bandages	Limited stretch, so they provide firm resistance during movement and rest pressure that is lower when the person is still	Needs training to apply; commonly used for venous disease and lymphoedema, as directed clinically
Long-stretch (elastic) bandages	Stretch more and apply sustained pressure, including at rest	Pressure depends on technique; may be less suitable when mobility is limited
Multi-layer compression systems	Two to four layers that build up graduated pressure when applied as directed	Often supplied as kits; follow the manufacturer's instructions for each layer
Cohesive bandages and wraps	Stick to themselves rather than the skin; some are used as a layer in compression systems	Check the product's intended use and application directions
Padding and wadding layers	Protect bony areas and even out the leg shape	Correct thickness and placement help prevent pressure damage

Safety points

• Check circulation. Check toes for colour, warmth, sensation and movement after application and as directed.
• Report problems straight away. Increasing pain, numbness, tingling, blue or pale toes, or swelling above or below the bandage means the bandage may be too tight and needs review.
• Protect the skin. Apply padding to bony areas and avoid wrinkles, which can create pressure points.
• Follow the instructions. Use the same method each time and avoid stretching bandages beyond what the manufacturer recommends.
• Know when it is not suitable. Some conditions mean compression is not safe, which is why assessment comes first.

What to check before ordering

• Bandage type, length and width suited to your residents' legs
• Whether you need kits, loose bandages or both
• Staff training and competency for applying compression
• Reuse and laundering rules for reusable bandages, as set out by the manufacturer

Ordering compression bandages from BIOFAST

BIOFAST is a Melbourne-based Australian supplier of compression bandages alongside wound dressings, tapes, continence products, PPE and personal care supplies. Aged care facilities can apply for a 30-day trade account (a completed credit application is required). Orders placed before 2pm normally ship the same day, and delivery is free over $199 in metro areas. Browse compression bandages, the wound care range and aged care supplies, or contact the sales team at sales@biofast.com.au or on 03 8905 4449.

Frequently asked questions

What are compression bandages used for?

They are used to manage leg swelling and to help treat venous leg ulcers and other conditions, as directed by a clinician.

Is compression therapy safe for everyone?

No. A clinician needs to assess the person, including the blood supply to the leg, before compression is started.

What is the difference between short-stretch and long-stretch bandages?

Short-stretch bandages stretch very little and give firm resistance when the person moves. Long-stretch bandages are more elastic and apply sustained pressure, including at rest.

Can aged care facilities buy compression bandages on account?

Yes. BIOFAST offers 30-day trade accounts to aged care facilities, subject to a completed credit application. Email sales@biofast.com.au to start.