Providing correct pressure-relieving devices for optimum outcome.

Area of Science:

• Biomedical Engineering
• Clinical Nursing
• Materials Science

Background:

• Pressure redistributing (PR) support surfaces are crucial for preventing pressure ulcers.
• Current methods for matching patients to appropriate PR surfaces lack standardization.
• This ambiguity can lead to devices being used ineffectively in clinical settings.

Purpose of the Study:

• To evaluate the efficacy of the Viaclin dynamic mattress overlay for different patient risk levels.
• To provide evidence-based recommendations for repositioning the Viaclin dynamic mattress overlay.
• To address the lack of clarity in matching patients with suitable pressure ulcer prevention devices.

Main Methods:

• A data hierarchy approach integrating three evidence strands.
• Interface pressure measurements.
• A pilot national survey and a randomized controlled trial.

Main Results:

• Evidence supports repositioning the Viaclin dynamic mattress overlay from medium-risk to higher-risk patients.
• Clinical studies showed 87% of patients on the overlay were at high- to very high-risk of developing pressure ulcers.
• The findings highlight the need for revised device positioning based on patient vulnerability.

Conclusions:

• The Viaclin dynamic mattress overlay is more appropriate for higher-risk patients.
• Standardized methods are needed to link patients with suitable pressure redistributing support surfaces.
• Evidence-based repositioning enhances the effective use of medical devices in pressure ulcer prevention.