It is not the policy of the home health agency that I work for, however, we do have a policy that an ABI be obtained before applying compression of any type. Personally, I do go ahead and measure the circumference of the leg at calf, ankle and foot prior to application - best practice to see if therapy for edema reduction is working.
I am new to HH and new to Unna boot application. Would you please explain why the measurements would be taken? I can understand an ABI (which we do not do either and I don't know how I would do that in HH b/c we do not have a doppler) but not just measurements.