Pressure Area Care

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The pump features a dual compressor, achieving fast inflation and easy disconnection, with air remaining in the cells for 10 hours enabling patient transportation from ward to ward where required. Artemis has been designed for use with Very High-Risk patients up to and including Category 4 pressure ulcers. It is zoned into head, body and heel sections with narrower cells in the heel area to reduce peak pressures at this vulnerable spot.

The top three cells giving head support remain static, which means that the mattress is better tolerated by individuals who find the dynamic movement difficult to cope with. Hybrid pressure mattresses combine both foam and dynamic therapies and can be used either as static mattresses or as dynamic therapy surfaces to mitigate the risk of pressure ulcers. The Acclaim Flow Hybrid Mattress uses a combination of air cells and specialist foams to form a mattress surface capable of pressure reduction across a wide range of healthcare environments, providing effective prevention and treatment for presure ulcers.

The surface contact area is increased which reduces peak interface pressures. The mattress uses high-grade foam at the edges for strength, providing a firm surface to help patients get in and out of bed. In addition, the Acclaim Flow has a zoned castellated foam top section divided into heel, head and torso zones to facilitate localised pressure reduction.

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The mattress is ideal for individuals at high risk of developing pressure ulcers, who find it difficult to tolerate dynamic surfaces. Static or foam mattresses like the Acclaim VE use a range of high quality castellated visco elastic foams to create a safe, comfortable, pressure relieving surface, confirming to the shape of the body and reducing peak pressures.

Some static mattresses incorporate smaller castellations in at-risk areas such as heels and the base of the spine. Dynamic therapy seat cushions are also available in options including dynamic powered , static foam and gels. Seat cushions play an important role in 24 hour care, ensuring that vulnerable patients are not at risk of pressure ulcer development when they are in a seated position outside the bed, in a chair or a wheelchair.

Dependent upon risk assessment and levels of care required, appropriate cushions may use alternating dynamic therapies, a range of high quality foams or even gel inserts to ensure total comfort and safety. Dynamic therapy seat cushions often run from the same pump as the dynamic mattress on the bed, which means that patients seated next to the bed during the day do not need an additional pump to power their cushions.

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  7. Seat cushions are supplied complete with breathable, vapour permeable covers. Replacement covers are also available. Mattresses developed and manufactured by Drive DeVilbiss Healthcare also take into account how the individual products are used and how they can be best protected to ensure optimum patient comfort whilst maintaining longevity.

    Specialist easy-clean mattress covers are produced using breathable, vapour permeable, waterproof, multiway stretch fabrics with added antibacterial resistance. X-ray translucent options are available. Different mattress cover designs feature stitched or welded seams with a zipped barrier with flap, and come complete with a five-year warranty. Drive DeVilbiss Healthcare offers a full range of dynamic, static and profiling bed mattresses to match the individual requirements of the patient population.

    This includes a selection of medical mattresses and seat cushions engineered to accommodate the needs of bariatric users. The Monitor, Alert, Protect M. P uses a smart pressure sensing mat with thousands of sensing points to identify high and low-pressure areas between the patient and the support surface. This data is then sent to a monitor where it is displayed as a real-time, colour coded high-resolution image.

    Pressure Ulcers: Prevention, Evaluation, and Management

    For visual purposes, areas of high pressure are shown clearly in red and orange, and with lower pressure areas showing as green and blue. All rights reserved. Drive DeVilbiss Healthcare Ltd. About News. Products Acute Healthcare Beds M. Resources Clinical Brochure downloads Request a catalogue.

    Sales Services Families and carers of patients discharged with risk factors should receive a pressure injury prevention parent factsheet and discuss suitable prevention strategies relevant to their child prior to discharge. Please remember to read the disclaimer. Updated January The Royal Children's Hospital Melbourne.

    Clinical Guidelines Nursing Toggle section navigation. Pressure injury prevention and management. The guideline ensures health care professionals: Improve their knowledge of the underlying physiology of PI formation. Identify high risk patients. Implement and document intervention and prevention strategies. Enhance pressure injury management. Provide adequate parent and carer education. Definition of Terms Blanching Erythema - Reddened skin that becomes white or pale in appearance when light pressure is applied. Extrinsic Factors - Originating external to the body. Intrinsic Factors - Originating internal to the body.

    Its value is measured from , with being neutral. Risk Assessment Scale - A formal grade used to help ascertain the degree of pressure injury risk.

    How to care for pressure sores: MedlinePlus Medical Encyclopedia

    Re-perfusion Injury - A re-perfusion injury is a response that the tissues have that results in damage to the cells when blood supply returns back to the tissue after a period of ischemia or lack of oxygen. Induration — A hardened mass or formation of the skin tissue due to increase in fibrous elements commonly associated with inflammation and marked loss of elasticity and pliability of the skin.

    Shear: is a mechanical force created from a tangential load that causes the body to slide against resistance between a contact surface and the skin. The dermis and epidermis outer layers of the skin remain stationary while the skeleton moves with the deep fascia, creating distortion in the lymphatic system and in the blood vessels between the outer layers of the skin. This leads to capillary occlusion and thrombosis. Moisture: alters the resilience of the skin to external forces by causing softening, particularly the longer the skin is exposed.

    Moisture can occur due to: wound exudate, incontinence and perspiration. Reduction in tissue tolerance This is the ability of the supporting structures and its skin to tolerate the effects of pressure. Factors contributing to reduced tissue skin tolerance: Pre-admission history of prolonged unchanging pressure on body part s Children younger than 36 months — have a disproportionately larger head in comparison to body size and an increased risk of PI development on the occipital region. Skin Integrity Assessment Children who are at risk of developing pressure injuries need to be identified so that preventative measures can be taken.

    Prior to discharge. Complete a general visual check of the integumentary, which includes analysis of the entire skin surface to assess its integrity and identify any characteristics indicative of pressure damage. Monitor and check the skin beneath dressings, prosthesis and devices when clinically appropriate.

    Clinical Guidelines (Nursing)

    Check for areas of localised heat, skin breakdown, oedema, areas of redness that do not blanch and induration of the wound. Employ appropriate manual handling techniques in line with Occupational Health and Safety guidelines when transferring and repositioning patients. Provide transfer assistance devices.

    Example: Hoist to reduce friction and shear forces. Provide the right positioning aids and use of appropriate support surfaces to help reduce friction and shear. Positioning and repositioning the patient Patients at risk of pressure injury should be suitably positioned to redistribute pressure, repositioned regularly by minimising shear and friction forces on the skin. If pain is managed appropriately they are able to move or be moved at frequent intervals. Monitor the patient's level of pain and ensure appropriate pain relief is provided.

    Refer to The principles of pain management for children guide. DO NOT remove comfeel that is placed within twenty-four hours as it will cause shear of the skin. Positions may include: prone, seated in bed, seated in chair, left side lying, right side lying and supine. Patients with Pulmonary hypertension, On ECMO Support The patient should be repositioned regardless of the support surface on which they are managed When transferring, examining or repositioning patients, the use of proper devices and techniques is mandatory.

    This prevents PI to the patient and injury to the staff member. Use padding to soften hard surfaces. When equipment is secured to the patient using tapes, ensure that they are not applied too tightly and that the applicable tapes are utilised. Ensure where possible that they have some elasticity and stretch.

    Improving acquired pressure area care at Newcastle upon Tyne NHS Foundation Trust

    Nutrition Offer frequent fluids and diet to at risk patients to maintain adequate nutrition and hydration High or very high-risk patients should be referred to a dietician following the Paediatric Nutritional Screening Tool Assessment. Nutritional support should be designed to prevent or correct nutritional deficits, maintain or achieve positive nitrogen balance, and restore or maintain serum albumin levels. Nutrients that have received primary interest in the prevention and treatment of pressure injuries include protein, arginine, vitamin C, vitamin A, and zinc.

    Moisture Moisture on the skin increases the risk of pressure injury development. Refer to Spinal Cord injury Clinical Guideline Acute management Pressure redistributing equipment: Redistributing equipment are support surfaces that offer redistribution of pressure on which patients are placed to manage pressure load to their integumentary system.

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