The Activa Leg Ulcer Hosiery Kit from L&R provides 40mmHg compression for healing leg ulcers without oedema. The two layer kit is suitable for regular shaped limbs and ulcers with low exudate.Download in-pack leaflet
The Activa leg ulcer hosiery kit is a hosiery alternative to bandages for healing leg ulcers. Two stockings are worn one on top of the other. A 10mmHg liner followed by a below knee, open toed British Standard Class 3 (25-35mmHg). The combined compression allows leg ulcer healing without the bulk of bandages. Suitable post healing for patients with a history of leg ulcer reoccurence.
** Not everyone with a leg ulcer is suitable for the hosiery kit and some people may need to wear bandages depending on the shape of the leg and exudate levels..**
No. We suggest the liner first, as it enables the high compression stocking to glide on more easily.
One charge is paid for the Activa Leg Ulcer Hosiery Kit ( 1 stocking 2 liners) One charge is paid for the pack of 3 liners
The name of the kit can be written as: 'Activa Leg Ulcer Hosiery Kit' or 'Activa Hosiery Kit.' Plus quantity/number of kits. The pharmacist needs to know it is circular knit.
The top stocking maintains its compression for 100 washes. It can be hand washed up to 40 degrees but must not be tumble dried. After 3 months of wear a new prescription is required.
In evaluations the Leg Ulcer Hosiery Kit was worn over dressings without dislodging them etc. However, if a patient has a very large ulcer with copious exudate, bandages would be more appropriate and Actico with a Flexiban padding bandage would be more absorbent.
Yes, they can. The hosiery can be worn for a week at a time in the same way as patients who wear compression bandaging. As the top stocking glides on relatively easily over the liner some patients may wish to remove the top stocking at night and re-apply in the morning.
The liner gives 10 mmHg of compression and may be suitable for patients where lower compression is indicated. Again, any patient needs a full evaluation, including a doppler asssessment, before wearing any compression hosiery.
No, the patient's limb needs to fit into the standard hosiery sizes, a leg may need to be reduced with bandages before it is a suitable size and shape. Patients with large ulcers and heavy exudate would be more suited to bandages.
Yes, in most cases as the hosiery is not bulky. Being able to wear normal shoes is also beneficial at encouraging mobility.
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The RCT found leg ulcer hosiery kits (kits from L&R were included in the trial) have equivalent healing rates as 4L bandages and fewer patient whose ulcers healed wearing kits recurred.
Author: Ashby et al
Publication: The Lancet
Date: October 4th, 2015
The question discussed by by Joy is:How can I improve leg ulcer care when faced with increasing service demands?
Author: Joy Tickle, Tissue Viability Nurse Specialist
Publication: Journal of Community Nursing
Date: February 1st, 2015
A CPD article on hosiery kits, answering what they are, which patients they suit and the supporting clinical evidence.
Author: Journal of General Practice Nursing
Publication: Journal of General Practice Nursing
Date: May 1st, 2015