A small, non-controlled evaluation set out to assess the effectiveness of the Airospring AS200 cushion in preventing the development of pressure ulcers in patients in nursing/care home and hospice settings. Ten patients, assessed as being at low-to-medium risk of pressure ulceration, were recruited into the evaluation; the mean age was 82.7 years. Of these, nine were living in nursing/care homes and one in a hospice. The follow-up period was 4 weeks for nursing/care home patients and 2 weeks for the hospice patient. Seven patients had a cognitive impairment. All patients were chairfast or had limited mobility. Of the 10 patients, one (from a care home) was withdrawn from the evaluation at week 2 because of a deterioration in her condition, although her skin remained intact. At the end of the follow-up period, the sacral skin was still intact in seven patients out of the nine remaining, but one patient developed persistent signs of blanching erythema. These preliminary results indicate that this pressure-redistributing cushion is largely effective in preventing pressure ulceration.
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http://dx.doi.org/10.12968/bjcn.2016.21.Sup6.S29 | DOI Listing |
Drug Discov Ther
July 2024
Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan.
Wheelchair cushions are recommended to be used with wheelchair and can protect the buttocks from pain and injury by relieving interface pressure for wheelchair users. However, further investigations are required for proper use in response to the development of new types of wheelchair cushions. The objective of this study was to evaluate physical characteristics of wheelchair cushions by comparing pressure redistributing effects of four types of cushions.
View Article and Find Full Text PDFInt Wound J
June 2024
Cardiff University School of Medicine, University of Wales, Cardiff, UK.
To assess all published studies which describe what happens to the delivery of pressure ulcer/injury (PI/PU) care pathways as a result of detecting raised sub-epidermal moisture (SEM) delta (∆ ≥ 0.6). We undertook a systematic review of the literature, and included original research studies using either a prospective or retrospective study design that report the impact that assessment using SEM assessments have on healthcare practitioners' delivery of PI/PU care pathways in adults at risk of developing PI/PUs.
View Article and Find Full Text PDFCochrane Database Syst Rev
February 2022
Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Background: Sitting can be viewed as a therapeutic intervention and an important part of a person's recovery process; but the risk of ulceration must be mitigated. Interventions for ulcer prevention in those at risk from prolonged sitting include the use of specialist cushions and surfaces, especially for wheelchair users. Whilst there is interest in the effects of different pressure redistributing cushions for wheelchairs, the benefits of pressure redistributing static chairs, compared with standard chairs, for pressure ulcer development in at-risk people are not clear.
View Article and Find Full Text PDFJ Tissue Viability
May 2022
Pace University, Pleasantville, NY, 10570, USA. Electronic address:
Aims: Traditional methods of shape-capture for creating custom-contoured seating have commonly consisted of capturing the buttocks in a loaded position. This study seeks to compare an innovative unloaded shape capture method to off-the-shelf pressure relieving cushions.
Materials And Methods: The pressure redistribution and support characteristics of a cushion designed using an unloaded shape-capture method was compared to off-the-shelf pressure redistributing cushions.
Int Wound J
October 2020
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, Banyo, Queensland, Australia.
The aim of this modified Delphi study was to determine a minimum pressure injury preventative intervention set for implementation relative to critically ill patients' risk level. Preventative interventions were identified via systematic review, risk levels categorised by an intensive-care-specific risk-assessment-scale (COMHON Index), and panel members (n = 67) identified through an international critical care nursing body. Round 1: panel members were asked to rate implementation of 12 interventions according to risk level (low, moderate, high).
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