Invacare® Therapeutic Support Surfaces

1. Completely immobile

OR

2. Limited mobility or has a pressure ulcer

on the trunk or pelvis, plus one of the following: -impaired nutritional status

-fecal or urinary incontinence -altered sensory perception -compromised circulatory status

YES

NO

Invacare®

1.Multiple stage II pressure ulcers on trunk or pelvis and -Patient has been on an ulcer treatment program plus

a Group I surface for at least the past month -Ulcers have worsened or remained the same.

OR

2.Large or multiple Stage III or IV pressure ulcer(s) on the trunk or pelvis

OR

3.Recent myocutaneous flap or skin graft for a pressure ulcer on the trunk or pelvis

Standard homecare mattress

Therapeutic Support Surfaces

YES

Require moisture control for incontinence or perspiration

YES

NO

Low Air Loss

Alternating Pressure,

Low Air Loss or Lateral Rotation

NO

Gel overlay, alternating

pressure pad or foam mattress

This algorithm is a recommended guideline for product selection. It is not a guarantee of product performance.

Patient condition and therapeutic benefit should be the primary drivers of product selection.

Helpful Hints

4

Always follow the directions and advice given by the prescribing physician.

Elevate the head of the bed no more than 30˚ whenever possible for maximum pressure distribution.

To determine if the patient has bottomed out, place an outstretched hand, palm up, between the mattress and the patient. The support surface should have about one-inch of uncompressed surface between the hand and the patient. If you can feel the patient’s body, the mattress needs more depth. Either provide a thicker support surface or add more air to the mattress.

Use a static support surface if the patient can assume a variety of positions without bearing weight on a pressure ulcer.

Use a dynamic support surface if (1) the patient cannot assume a variety of positions without bearing weight on a pressure ulcer, or

(2) the patient fully compresses the static support surface.

Patients should not wear incontinence briefs or pads when using a therapeutic support surface because they can retain heat and moisture. Follow existing protocols if available.

To promote air flow, use flat sheets rather than fitted sheets.

When placing a patient on a dynamic surface for the first time, acclimate them to the therapy by using a static mode for the first several hours.

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Invacare CG10180CA, IVCGFMO, CG101080 manual Invacare, Helpful Hints