By Australian Wound Management Association
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Additional resources for Clinical Practice Guidelines for the Prediction & Prevention of Pressure Ulcers
Plastic sheets, draw sheets, cellulose incontinence sheets (blueys) and sheepskins reduce the pressure relieving qualities of the alternating pressure device to that of a static support surface so the benefits of a reduced turning regimen are negated. 6 Low air loss devices Low air loss devices provide a continuous flow of air from the entire surface of the mattress; this is achieved by using a microporous material for the transverse air cells that constitute the support surface. A powerful fan maintains air cell inflation at the lowest possible level despite constant air loss.
Foam is easily shaped for specific bony prominences, such as heels and heads. Newer formulations of foam have increased its resiliency and fire-retardant characteristics making it safer and improving its durability and compressibility 165. Ten centimetre thick foam overlays have demonstrated improved pressure reducing capabilities when compared with five centimetre thick foam overlays or the basic hospital page 27 Clinical practice guidelines for the prediction and prevention of pressure ulcers mattress.
8 Turning beds There are a variety of beds or devices that assist in turning the patient. They may be manual or mechanically controlled and may provide intermittent or continuous movement Studies have not demonstrated any benefit in the reduction of pressure ulcers 119, 175 175 . 9 Evaluating support surfaces There have been few randomised controlled trials (RCTs) on pressure relieving support surfaces. The UK National Health Service Centre for Reviews and Dissemination 119 reviewed all RCTs identified in the literature (30 in total) for effectiveness of pressure relieving interventions.
Clinical Practice Guidelines for the Prediction & Prevention of Pressure Ulcers by Australian Wound Management Association