When wrapping a stump, how should the tightness of the bandage change?

When wrapping a stump, the bandage should be tightest distally and loosest proximally. This technique is crucial for several reasons.

Wrapping tightly at the distal end (the farthest point from the heart) helps to reduce swelling by applying adequate pressure where the extremity is most prone to edema. As you move proximally (closer to the body), the bandage should become looser, allowing for better blood flow and preventing constriction that could lead to complications such as impaired circulation or necrosis. By following this method, you ensure that the bandage stabilizes the area while also accommodating the physiological needs of the limb.

This approach is particularly important in managing stumps after amputations, as it promotes proper healing and reduces the risk of complications that may arise from improper bandaging techniques.