Pressure ulcers, commonly known as bedsores, are more than just a minor discomfort; they are a serious health concern that can lead to severe pain, social isolation, and significant healthcare costs. For those living in nursing homes or receiving long-term care at home, the risk is particularly high due to factors like immobility and age.
However, there is good news: pressure ulcers are largely preventable. By implementing structured care strategies and utilizing high-quality medical equipment, we can significantly reduce their incidence.
At Graham-Field, our mission has always been to provide the tools necessary to enhance the quality of life for those with mobility challenges. But part of that mission involves education and understanding the “why” behind the medical equipment we provide. By prioritizing advanced pressure-redistribution surfaces and ergonomic positioning, we aim to help caregivers and patients proactively defend against the quiet but serious threat of skin degradation.
The Power of the “Care Bundle”
Recent research highlighted by the National Institute of Health (PMC6618244) emphasizes the effectiveness of a “care bundle”—a small set of evidence-based practices that, when performed together, drastically improve patient outcomes. In a feasibility study conducted in nursing home settings, the implementation of a specific care bundle resulted in zero new pressure ulcers during the intervention phase.
According to the study, the three pillars of effective prevention are:
- Skin Inspection: Regular checks to identify early signs of redness or damage.
- Repositioning: Regularly changing the patient’s position to relieve pressure on vulnerable areas.
- Support Surfaces: Using specialized mattresses and cushions to redistribute pressure.
Comprehensive Solutions by Graham-Field
To successfully implement these clinical recommendations, caregivers need reliable tools. Graham-Field (GF) offers a range of solutions designed specifically to address the “Support Surfaces” and “Repositioning” elements of the care bundle.
1. Advanced Support Surfaces
The PMC study notes that checking and using the right support surfaces is critical. Graham-Field’s Alternating Pressure Mattresses, like the Lumex™ Select LS400 and LS900, are engineered to redistribute weight and reduce interface pressure. These systems use air cells that periodically inflate and deflate, ensuring that no single part of the body remains under constant pressure for too long.
2. Enhancing Mobility and Repositioning
Repositioning can be physically demanding for caregivers and uncomfortable for patients. Graham-Field provides high-quality Patient Lifts and Slings that facilitate safe and frequent movement. By making repositioning easier, these tools help ensure that the “Keep Moving” aspect of care is never skipped due to physical strain.
3. Therapeutic Seating
Pressure ulcers don’t just happen in bed; they often develop while sitting. Graham-Field’s specialized wheelchair cushions with our proprietary Dura-Gel that reduces surface pressure, and geriatric recliners provide ergonomic support and moisture management, which is vital for maintaining skin integrity when a patient is upright.
Strategies for Success
The PMC study adds that “documentation and adherence” are often the biggest barriers to prevention. To combat this, they suggest:
- Prompts and Cues: Use checklists or posters to remind staff of repositioning schedules.
- Skin Champions: Designate a specific team member to lead the initiative and demonstrate best practices to others.
- Education: Ensuring that all caregivers understand the “social and environmental consequences” of pressure ulcers can increase accountability.
Preventing pressure ulcers requires a combination of clinical diligence and the right equipment. By following the evidence-based “care bundle” approach, regular skin checks, frequent repositioning, and the use of professional-grade support surfaces from Graham-Field, caregivers can provide a higher standard of care and ensure the comfort and safety of those they serve.
Learn more about Graham-Field’s solutions here: www.grahamfield.com
References:
Lavallée, J. F., Gray, T. A., Dumville, J., & Cullum, N. (2019). Preventing pressure ulcers in nursing homes using a care bundle: A feasibility study. Health & Social Care in the Community. PMC6618244
