Support surfaces: pressure reducing beds/mats/pads

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Support Surfaces: Pressure Reducing Beds/Mats/Pads[edit | edit source]

Support surfaces refer to various medical devices, including pressure reducing beds, mats, and pads, designed to provide comfort and alleviate the risk of pressure ulcers (bedsores) in individuals who are bedridden or have limited mobility. These surfaces are particularly essential for patients with conditions that increase their vulnerability to pressure ulcers.

Purpose[edit | edit source]

The primary purpose of support surfaces is to distribute body weight more evenly, reducing the pressure on specific areas of the body that are prone to developing pressure ulcers. By minimizing pressure and friction, these surfaces help prevent skin breakdown and enhance patient comfort.

Medical Conditions and Treatments[edit | edit source]

Support surfaces are commonly used for patients who:

  • - Are bedridden or immobile for extended periods.
  • - Have limited mobility due to medical conditions, such as paralysis or advanced age.
  • - Undergo surgery or medical procedures that require prolonged bed rest.
  • - Are at risk of pressure ulcers due to medical conditions like diabetes or vascular disease.

Types of Support Surfaces[edit | edit source]

There are various types of support surfaces designed to address different patient needs and clinical settings:

  • - Pressure Reducing Mattresses: These mattresses feature specialized materials that distribute pressure evenly, reducing the risk of pressure ulcers.
  • - Alternating Pressure Mattresses: These mattresses periodically change pressure points to enhance blood flow and prevent ulcers.
  • - Air Fluidized Beds: These beds immerse patients in a fluid-like medium, reducing pressure on the skin.
  • - Low-Air-Loss Mattresses: These mattresses provide airflow to the skin's surface, maintaining a dry and low-pressure environment.
  • - Gel Pads and Overlays: Gel-based pads and overlays conform to the body's shape to reduce pressure.
  • - Foam Mattress Toppers: These foam layers can be added to standard mattresses to improve pressure distribution.
  • - Overlay Systems: Overlay systems are placed on top of existing mattresses to provide pressure relief.
  • - Heel and Elbow Protectors: These pads protect vulnerable areas from developing pressure ulcers.
  • - Positioning Aids: Positioning aids help maintain proper patient alignment while reducing pressure on specific areas.

Selection and Monitoring[edit | edit source]

The selection of support surfaces depends on the patient's condition, risk factors, and individual needs. Healthcare professionals, including nurses and wound care specialists, assess patients to determine the most suitable support surface.

Continuous monitoring of patients using support surfaces is essential to ensure their effectiveness. Adjustments may be made based on the patient's changing condition and response to treatment.

Benefits and Considerations[edit | edit source]

Support surfaces play a critical role in preventing pressure ulcers and providing comfort to patients with limited mobility. However, healthcare providers must consider factors such as the patient's medical history, skin condition, and specific requirements when choosing the appropriate support surface.

Proper use and maintenance of support surfaces are vital to maximize their benefits and minimize complications.


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Contributors: Prab R. Tumpati, MD