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Best bed to prevent pressure sores in paraplegic?

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    Best bed to prevent pressure sores in paraplegic?

    I just received this email and thought that perhaps some people here would know the answer.

    Hi DR. Young, my husband is a para and has alot of trouble with skin breakdown. Do you know what beds are best for para's with this problem.Thanks

    #2
    I have come across this

    www.fibromyalgia-health.info/sam-mattress.php

    This will be my next mattress. This one appears to take into consideration
    temperature as well as pressure. I also hear good things
    about the latex.

    Joe
    And the truth shall set you free.

    Comment


      #3
      I make all the decisions about outpatient mattresses for all patients at our medical center. I would need a lot more information in order to make a decision like this, such as:

      Weight
      Where his skin breakdown problems are--and are they healed or open right now
      How is his nutrition
      Does he have a problem with moisture (incontinence or sweating)
      Does he use a hospital bed, regular bed or adjustable bed, and what size
      Does he turn and is he able to do this himself
      What positions does he use for sleep
      How does he transfer
      What ADLs does he do in bed

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


        #4
        I use the pressure guard turn select by Span America, wwwspanamerica.com which repositions me throughout the night. I am a Quad C5/C6 and live alone and cannot turn myself. It has a hand control that I can turn on and off myself. I use to use the Turn Q by Invacare but traded it in because the controls were at the foot of the bed and weren't accessible for someone living alone.
        Last edited by Mikki; 24 Jul 2005, 12:14 AM.

        Comment


          #5
          Wise, I'm sure the nurses will chime in here, but I would think that a para could do enough of their own pressure reliefs that breakdown shouldn't be an issue. Perhaps more info from the person who emailed you? Is he unable because of other problems, to do his own pressure relief>
          _____________

          Comment


            #6
            Mikki, we used to use the TurnSelect for people with tetraplegia at home who cannot turn themselves, but had major problems with breakdowns and short life span of this product, so we changed over to the CairTurn RT instead. Neither of these is low air loss, and I would question the need for a turning mattress for someone with paraplegia. We rarely issue these under these circumstances unless the person is old or debilitated for some other reason.

            We use a replacement static mattress for many of our clients with paraplegia. There are many on the market that are decent. We used to use the SpanAmerica Pressure Guard Renew, but also had problems with these springing a leak in the air chamber, so now use the Triline ProCair V with good success. There are many other good ones though, and we are getting ready to do an evaluation of a number in anticipation off replacing our Pressure Guard Renew mattresses on my unit.

            (KLD)
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


              #7
              I have been using the Pegasus BI-WAVE air mattress and it has worked for me.

              Comment


                #8
                KLD, please advise

                KLD,I would appreciate your advise on an overlay. Here are some facts to work with:

                Jim is c5, complete, TBI, and importantly, a type I diabetic of 27 years
                History of stage 3 pressure sore in coccyx area while in Rehab, with no problems since (no flap surgery)
                Uses a Volker bed, which is slightly wider than twin size, standard length
                Unable to turn self, has shoulder problems, able to hook shoulders over but not position legs
                5'9, 165 lbs
                Feet are in good shape, but redden without turning during the night at bony promenances. Does have 2 -3 plus edema by bedtime at times
                Does not transfer self, I either lift or use hoyer (old kind)Had broken arms with resulting inability to completely straighten them
                ROM is done in the bed
                Sleeps in a side-lying position with positioning pillows and pillowy "boots"
                Uses trapeze, connected to headboard, for exercise and to help with positioning and dressing
                Has Workman's Comp
                Skin in excellent condition
                eats well with lots of protein, Blood sugars average about 140
                No incontinence, b or bl, uses a S/P catheter

                I am most concerned with feet/ankles, as they get reddened area's without turning, even with pillow positioned and soft ankle/foot boots. His old drop foot braces from rehab leave more marks after these 5 years. Obviously, with the long term diabetes a sore would be bad, he has pulses, but only by doppler. Does not tolerate prone for longer than 1 hour. Can tolerate 6-8 hours without redness in hips. Has history of heel sores from rehab, stage 1, well healed. Right now he is using an overlay of thick foam of varying density that I made to fit the bed. My original concern was not only his skin but enabling him to practice movement by himself in the bed. Maybe some device just for legs/feet would work? I haven't wanted to stress hip areas so haven't left foot of bed in up position overnite. Thanks, Deb

                Comment


                  #9
                  I´m using this. Excellent protection up to 120 kg. body weight.

                  http://www.msimedi.de/000000926114c6...30f/index.html
                  "So I have stayed as I am, without regret, seperated from the normal human condition." Guy Sajer

                  Comment


                    #10
                    The absolute best way to preven heel breakdown is to bridge the heels with pillows or foam blocks under the calves so that the feet (heels and ankles) never touch the bed. I have not seen a mattress yet that really provides adaquate protection of the bony areas on the feet...including an airfluidized bed (Clinitron).

                    Otherwise, does have have the Volkner overlay that goes on top of a regular mattress? I have not been impressed with this at all. It claims to provide turns, but if you measure the body angle, it changes less than 10 degrees, and we have also had problems getting services when they break (often). We stopped using them over 10 years ago.

                    I would recommend looking closely at the CairTurn RT for him.

                    (KLD)
                    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                    Comment


                      #11
                      Mattress

                      We have the standard "pressure reducing" mattress that came with the bed, but I made a 6 inch foam overlay, dense on bottom layer, softer on top. I do bridge his feet, but still have to turn him during the night to keep reddened areas from happening. I sure would like him to get a n uninterupted night of sleep!
                      Thanks alot, I will try to look up your suggestion. Enjoy the rest of your summer. Deb

                      Comment


                        #12
                        My old Medline Sentry is about shot and needs replaced. I've tested a Hill-Rom and a Mason Air but don't like either. All I want is a new version of the same thing but with so many out there with a wide variation of prices I could use some help. Any Ideas?
                        jbs

                        Comment


                          #13
                          Tempurpedic mattresses are the best product under $15,000 (which is about what a hospital air bed costs).

                          I am a high quadriplegic and I have used the Tempurpedic mattress for the last five years. They have a no risk 120 day trial, so I tried out the double before purchasing a queen-size mattress ($2700).

                          No pressure problems related to the mattress, so far, and my partner absolutely loves this mattress. Try before you buy it.

                          Comment


                            #14
                            well, i turn myself but have used a good old waterbed 18 of my 20 years of being c7. never had pressure sore except one on heel years ago (unknown cause, prob my boots) and one on elbow (lean on it too much).

                            Comment


                              #15
                              i have a serta memory foam bed. i don't even get a red mark and i lay one one side all night unless i get uncomfortable. but i can feel.

                              i'm c6-7inc.
                              Never take life seriously, nobody gets out alive anyway

                              Frank's blog:
                              http://www.franktalk-scurry.blogspot.com
                              My regular blog:
                              http://www.ithinkithinktoomuchblog.blogspot.com

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