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The first in a series of articles and research papers proposing an alternative trajectory. Identifying the manual and mechanical handling link to force-related tissue damage in both patients and carers during present inbed care practices. Click here to view the paper.

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A limited number of Free USB sticks are available which contain educational videos on the Phil-e-slide Biotechsis “inbed” Care Management System

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to share and view with your peers and clients

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for a limited period a FREE set (of two) New Phil-e-slide Enabler Slide Mitts with every two sets of Biotechsis Basic Systems purchased

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Pressure Sores-Bed Surface Technology, Plan “B” The missing Link,is coming soon.Click here to find out more

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The forgotten interface when caring for patients confined to bed

What do you wear in bed? According to a national sleep survey, 92% of us sleep in bed wearing some form of clothing. However, caring for patients ‘inbed’, both in health and social care, this figure is more likely to be nearer to 100%.

Through our ongoing research into ‘inbed’ care management systems, we’ve identified that the wearing of bed clothes has been totally disregarded in the research and recommendations made in the NPUAP-EPUAP-PPPIA Pressure Ulcer Treatment & Prevention, 2014 Quick Reference Guide Reference Guide DIGITAL NPUAP-EPUAP-PPPIA-Jan2016.pdf, published by the European and US National Pressure Ulcer Advisory panels. Discussing Mattress and Bed Support Surfaces for Pressure Ulcer Prevention, the report says, “Pressure redistributing support surfaces are designed to either increase the body surface area that comes in contact with the support surface (to reduce interface pressure) or to sequentially alter the parts of the body that bear load, thus reducing the duration of loading at any given anatomical site.”

This does not take into account that patients’ skin is not directly in contact with the bed mattress surface. However, a 2009 study in Japan showed there were significant differences between patients with and without clothing in relation to tissue integrity on the coccygeal bone site and the scapular bone site.

Leading fabric manufacturers state that for preventative pressure care, stretch fabrics should be used “that will fit the contours of both the device and body giving the required level of support’ and that the “support surface should also have sufficient slip, as excess surface friction can add to the risk of patients developing ulcers”. However, by nature ‘inbed’ clothing is not stretchable, can have surface creasing and can cause ‘hammocking’. Furthermore, the construction and materials used in ‘inbed’ clothing is relatively ‘adhoc’ in nature regarding its ability to slide.

‘Inbed’ clothing also means patients’ skin is not directly next to the support surface as recommended EPUAP Reference Guide DIGITAL NPUAP-EPUAP-PPPIA-Jan2016.pdf which in essence is a contradiction and negates the correct interface when looking at patients and their resting surfaces.

So whilst all the above requirements have good intentions, surely ‘inbed’ care management needs to take account of the actual interface between a patient and their bed surface – their ‘inbed’ clothes?

Please click on coloured text above for related links. Alternatively, please use the links below:

Links:

http://www.prnewswire.com/news-releases/national-sleep-survey-pulls-back-the-covers-on-how-we-doze-and-dream-184798691.html
http://www.epuap.org/guidelines-2014/Quick%20Reference%20Guide%20DIGITAL%20NPUAP-EPUAP-PPPIA-Jan2016.pdf
http://www.ncbi.nlm.nih.gov/pubmed/19821961
http://www.dartexcoatings.com/pressure-care/

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