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support surfaces

WOCN program

QuestionAnswer
pt's with multiple pressure ulcers stage II or higher on turning surfaces or have 1 no turning surfaces should be placed on what type of surface active with an AP feature or a reactive support surface with an LAL or AF feature
what surface is more effective in reducing the incidence of pt in persons at risk that standard hospital foam mattresses high specification foam
which high spec foam is best no evidence of one being superior
australian medical grade sheepskin not readily available in the US, appropriate choice for pts' with braden subscore of 4 or 3 in moisture and mobility
which reactive/CLP support surface is best insufficient evidence to support one over another
active support surfaces with an AP feature are more effective than what to prevent PU standard hospital mattress
which is better to reduce incidence of PU'S, mattress with AP or overlay with AP overlays and mattresses with AP features show similar efficacy in reducing PU incidence
mattresses with a multi stage AP feature are more effective that overlays with AP feature in preventing full thickness PU
mattresses or overlays with single stage AP are equal or different in preventing what equal in preventing partial thickness PU's
what can be done to prevent post op PU incidence use of a support surface
suspected deep tissue injury (sDTI) on trunk or pelvis surface that facilitates tissue temp reduction (turning, gel, AP, LAL, or AF feature
person with PU on head or upper or lower extremities should be offloaded and may not require a change in current surface
if while on reactive /CLP surface with LAL or AF feature, pt's condition improves (no longer has PU or no longer at high risk) reactive /CLP or an active support surface with an AP feature
what are contraindications for Reactive/CLP surfaces unstable spine, weight limitations
what are contraindications or precautions for high specificity foam braden moisture 1 or 2, weight limitations
what are contraindications for Reactive/CLP surfaces with LAL features add precautions for combative, restless, agitated pt
what are contraindications for Reactive/CLP surfaces with AF feature combative, restless, agitated pt, needs HOB elevated, need for mobility, claustrophobia, unstable spine, weight limitations, trendelenberg
immersion the depth of penetration or sinking in to the surface, improves redistribution
envelopment ability of support surface to conform to body irregularities w/o increasing pressure
friction
shear
what is a support surface any surface that redistributes pressure
incidence
prevalence
preventive pressure redistribution redistribute pressure over reader area so that pressure is is lower at any given point, doesn't consistently lower pressure to <CCP, must turn Q 2 also
therapeutic pressure redistribution TIP is below CCP, prevent skin breakdown in person who can't turn themselves or only one turning surface, promote healing of current PI, reduce stress on an area of tissue
CLP is REACTIVE constant low pressure, powered or non powered, redistributes pressure via immersion and envelopment (gel, foam, viscous fluid, static air, water, bead filled, sheepskin, doesn't move with pt, shear reduction via low friction and compliant
AP is ACTIVE surface alternating or active, cyclic changes in loading and unloading, moves with pt, pressure and shear reduced via cyclic load reduction,
LAL flow of air to manage microclimate
air fluidized air forced through beads creates fluid like medium, provides immersion and envelopment
compare AP and CLP AP= active, moves with pt, alternating pressure, pressure and shear reduced via cyclic load reduction, CLP=reactive, doesn't move with pt, pressure reduced via immersion and envelopment, shear reduction via low friction and compliant
indentation force deflection number of lbs. needed to indent the foam 25% of the thickness, measures compressibility and conformability
braden scale no risk 19 and higher
Braden very high risk 9 or <
Braden high risk 10-12
Braden moderate risk 13-14
Braden mild risk 15-18
Created by: Beth Perry