Bed
Sore prevention using Australian Medical Sheepskins
"It's a good thing we toss and turn in bed. That
movement continually redistributes the pressure between our bodies
and the mattress. If illness or injury prevents this movement,
pressure builds up on specific areas of the body. This can cause
skin and other tissues to die, creating a bedsore. A few simple
steps, however, can help prevent these painful, dangerous, and
costly sores, reports the November 2006 issue of the Harvard
Health Letter."
In 2006, Medicare in the US,
logged nearly 323 000 cases of pressure sores as secondary
diagnoses. The average cost of treating these pressure sores was $
40,381.
Bed sores, pressure sores and
decubitus ulcers are painful, debilitating and unnecessary. Use this
guide to learn about bed sores and their prevention. Bed sores can
develop very quickly and may progress into a Stage 4 pressure ulcer;
like the one shown below. Preventing this from happening should be
of primary concern for all caregivers.
Bed sores tend to develop on people who are confined to bed or
chair. Most often they are first seen in the tailbone or ankle
areas. Fortunately, the risk of developing bed sores can be reduced
significantly. Preventing bedsores is the logical and most humane
method you have of caring for those confined to a bed or wheelchair.
Bedsores are unnecessary and, 95% of the time, can be prevented. -
American Family Physician, October 1996: v54, n5,
p1519 (14)
Bed Sore
Prevention Guidelines:
1. Take care of the skin:
Inspect the skin daily. Pay special attention to red areas and
pressure points. Minimize moisture contact with the skin.
Australian Medical sheepskins reduce pressure and wick moisture away
from the skin, keeping it dry.
2. Protect the skin from injury:
Avoid massaging skin over bony areas. Change body position at least
every 2 hours- more frequently in a chair. Reduce friction (
rubbing) by lifting rather than dragging. Do not use donut shape
cushions. These can increase the risk of getting pressure ulcers
by reducing blood flow in the areas of contact with the cushion. If
the patient is confined to bed,
reduce pressure points with Australian Medical
Sheepskins. The head
of the bed should be raised as little as possible. When the head of
the bed is raised above 30 degrees, the skin may slide over the bed
surface, damaging skin and small blood vessels. Pillows or wedges
should be used to keep knees and ankles from touching each other.
Patients should avoid lying directly on the hip bone when lying on
their side. Pillows and Medical Sheepskin may help. If the patient
is completely immobile, pillows should be put under their legs from
mid-calf to ankle to keep heels off the bed. Never place pillows
under the knees. This cuts off blood circulation.
Use Australian Medical Sheepskins to protect
the skin from injury.
3. Eat well:
Eat a balance diet. Proteins and calories are very important for
healthy skin. Healthy skin is less liable to be damaged.
4. Improve the patients ability to move:
A rehabilitation program can help some people gain movement and
independence. The patient can help to prevent most pressure sores.
Bed Sores, decubitus ulcers and
pressure sores develop through 4 stages. Notify your medical
practitioner and nursing staff if you notice any of the following:
Stage 1. You will notice
redness of the intact skin. The skin is unbroken, but inflamed and
may be painful and warm to the touch. You might also notice the
skin's texture may be spongy or firm.

Stage 2.
Here you will see the first sign of skin breakdown and partial skin
loss. It will look like an abrasion, blister or shallow crater. The
outer layer of the skin is broken, red and painful. Surrounding
tissue may be pale, red or swollen.

Stages 3 & 4 result in ulcer production.
The skin has broken down and there is extensive destruction
or damage to the underlying muscle, bone or supporting structures.
Ulcers are extremely difficult to heal and may take many months for
complete repair. Preventing the development of an ulcer should be
considered seriously.

Bed sores, decubitus
ulcers and pressure sores are unnecessary and can be prevented.
Prevention is possible when you provide an environment for the
patient that does not foster the formation of bedsores. This
environment can be produced by
Australian HiTemp UR Medical Sheepskins.
These sheepskins are approved FDA Medical Devices.

...........................................................................................................................................................
February 2007 - The National Pressure Ulcer
Advisory Panel (NPUAP) has redefined the definition of a pressure
ulcer and the stages of pressure ulcers, including the original 4
above stages and adding 2 stages on deep tissue injury and
unstageable pressure ulcers. This work is the culmination of over 5
years of work.
Pressure Ulcer Definition
A pressure ulcer is a localized injury to the skin and/or underlying
tissue usually over a bony prominence, as a result of pressure, or
pressure in combination with shear and/or friction. A number of
contributing or confounding factors are also associated with
pressure ulcers; the significance of these factors is yet to be
elucidated.
Pressure Ulcer Stages
Suspected Deep Tissue Injury:
Purple or maroon localized area of discolored intact skin or
blood-filled blister due to damage of underlying soft tissue from
pressure and/or shear. The area may be preceded by tissue that is
painful, firm, mushy, boggy, warmer or cooler as compared to
adjacent tissue.
Further description:
Deep tissue injury may be difficult to detect in individuals with
dark skin tones. Evolution may include a thin blister over a dark
wound bed. The wound may further evolve and become covered by thin
eschar. Evolution may be rapid exposing additional layers of tissue
even with optimal treatment.
Stage I:
Intact skin with non-blanchable redness of a localized area usually
over a bony prominence. Darkly pigmented skin may not have visible
blanching; its color may differ from the surrounding area.
Further description:
The area may be painful, firm, soft, warmer or cooler as compared to
adjacent tissue. Stage I may be difficult to detect in individuals
with dark skin tones. May indicate "at risk" persons (a heralding
sign of risk)
Stage II:
Partial thickness loss of dermis presenting as a shallow open ulcer
with a red pink wound bed, without slough. May also present as an
intact or open/ruptured serum-filled blister.
Further description:
Presents as a shiny or dry shallow ulcer without slough or
bruising.* This stage should not be used to describe skin tears,
tape burns, perineal dermatitis, maceration or excoriation.
*Bruising indicates suspected deep tissue injury
Stage III:
Full thickness tissue loss. Subcutaneous fat may be visible but
bone, tendon or muscle are not exposed. Slough may be present but
does not obscure the depth of tissue loss. May include undermining
and tunneling.
Further description:
The depth of a stage III pressure ulcer varies by anatomical
location. The bridge of the nose, ear, occiput and malleolus do not
have subcutaneous tissue and stage III ulcers can be shallow. In
contrast, areas of significant adiposity can develop extremely deep
stage III pressure ulcers. Bone/tendon is not visible or directly
palpable.
Stage IV:
Full thickness tissue loss with exposed bone, tendon or muscle.
Slough or eschar may be present on some parts of the wound bed.
Often include undermining and tunneling.
Further description:
The depth of a stage IV pressure ulcer varies by anatomical
location. The bridge of the nose, ear, occiput and malleolus do not
have subcutaneous tissue and these ulcers can be shallow. Stage IV
ulcers can extend into muscle and/or supporting structures (e.g.,
fascia, tendon or joint capsule) making osteomyelitis possible.
Exposed bone/tendon is visible or directly palpable.
Unstageable:
Full thickness tissue loss in which the base of the ulcer is covered
by slough (yellow, tan, gray, green or brown) and/or eschar (tan,
brown or black) in the wound bed.
Further description:
Until enough slough and/or eschar is removed to expose the base of
the wound, the true depth, and therefore stage, cannot be
determined. Stable (dry, adherent, intact without erythema or
fluctuance) eschar on the heels serves as "the body's natural
(biological) cover" and should not be removed.
U.S. Department of Health & Human Services
The Agency for Healthcare Research and Quality (HRQ) has
produced a
Guideline for Pressure Ulcer Prevention- 2011. This
guideline sorts out the scientific evidence from the anecdotal. The
best scientific evidence recommends:
1."Offer
high-protein mixed oral nutritional supplements and/or tube feeding,
in addition to the usual diet, to individuals with nutritional risk
and pressure
ulcer risk because of acute or
chronic diseases, or following a surgical intervention."
2.
"Use of repositioning should be considered in all at-risk
individuals. Repositioning should be undertaken to reduce the
duration and magnitude of pressure
over vulnerable areas of the body."
3."Repositioning
frequency should be influenced by the support surface used."
4."There
is no evidence of the superiority of one higher-specification foam
mattress over alternative higher-specification foam mattresses."
5. "Alternating-pressure active support overlays and replacement
mattresses have a similar efficacy in terms of pressure ulcer
incidence."
6.
"Avoid use of synthetic sheepskin pads; cutout, ring, or donut-type
devices; and water-filled gloves. Natural sheepskin pads might
assist in preventing pressure
ulcers."
For the complete study, click:
Pressure Ulcer Prevention Recommendations
If
a bed sore has developed already, the best thing that you can do is
to try and remove the cause of the bed sore. Pressure often causes
bedsores. Pressure against the small blood vessels in the skin will
cause them to collapse. Thus, blood flow to that area will cut off.
Skin cells will be deprived of oxygen and nutrients and will die.
The death of the skin is the beginning of what is recognised as a
bed sore. To prevent this from happening, you must reduce the
pressure on the skin. This can be achieved by lying/sitting on a
Australian Medical Sheepskin. Australian Medical Sheepskins also
wick moisture away from the skin; keeping it dry and firm. Moist
skin is more likely to tear when a person moves. Australian Medical
Sheepskins reduce friction. If a person lies directly on a
Australian Medical Sheepskin, skin abrasion and tears are less
likely to happen.
Premium grade
Australian Medical Sheepskins (AS4480-1 1998) add comfort and an
improved feeling of well-being to those confined to a bed or
wheelchair. The 2004 clinical trial at the Royal Melbourne Hospital
found that people placed on these Australian Medical Sheepskins had
58% fewer bed sores than those placed on regular bed linen. For
clinical trial details, click:
Research
When a person rests on a
HiTemp UR Medical Sheepskin,
there are 3 continuous bed sore
prevention effects: 1.
Pressure reduction at the point of body contact with the sheepskin.
2. Reduction of friction and shearing forces which rub and
tear the skin. 3. Prevention of the
build-up of skin moisture.
Effective caregivers use
HiTemp UR Medical Sheepskins
to prevent or manage bed sores.
You might also consider the following
products: (Click on a Catalogue number for
more information, or to Order)
-
Low Temp Australian
Medical Sheepskins- natural shape- (
M101)
-
Hospital Fleece Nursing
Pad (
F103A or F103B)
-
Low Temp Australian
Medical Sheepskin Bed Pad- 24" x 36" (
M129BS)
| |
M101 |
F103 |
M129BS |
| Size |
About 30" x 42"- natural shape |
Available in 32" x 60" and 20" x 36" |
24" x 26" |
| Wool Type |
Low temperature wash, Merino Medical
Sheepskin. |
Merino wool knitted into a backing material
with a waterproof, breathable backing. |
Low temperature wash Merino Sheepskin Bed
Pad, with elastic straps to keep it in place. |
| Wool-Pile Height |
30mm |
30mm |
30mm |
| Colour |
Champagne |
White |
Gold |
| Wool-Pile Density |
Highest |
Good |
Below M101, but very good. |
| Washability |
Wash in Woolskin in cold water. Air dry. |
Machine wash with Woolskin. Dry in dryer. |
Wash in Woolskin in cold water. Air dry.
|
| Affordability |
Most expensive. |
Cheapest and best for institutional use.
Easiest to care for. |
Great value and very soft, fine wool. |
Order online,
using the secure payment gateway; chosen by Google for its own
online transactions. Or, if you are not sure about the best product
for your situation, call us at: 1- 800- 463- 1985.
New Products from
Australia:

This is a new range of
products, specially developed for the Prevention of Pressure Sores
and Decubitus Ulcers. Made from Merino Superwash Wool with a pile
density of 1900 grams/square metre. This consistent wool product
ensures that all items are the same..unlike sheepskins which differ
from one to another.
Pressure Smart XD
products are machine washable and can be dried in the dryer..making
them more suitable for institutions that use a common laundry for
all articles. These products are recommended for incontinent
clients.
At present, we have the
M103 available in Pressure
Smart XD. Other products will arrive from Australia in mid December.
Enjoy
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account.
Click
Catalogue to see our products
and to order on-line.
We recommend that you
clean, condition and disinfect all sheepskin and wool products with
Woolskin...the
Sheepskin Shampoo & Conditioner.

Benchmark for quality service since 1986
We want to make sure that you receive
the product best suited to your need. If you have any questions
about our products or their use for medical conditions, please
contact us. We are here to help you!
Phone:
1- 800 - 463 - 1985
FAX : 905
- 295 - 3816
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|