Mattresses and beds: reducing and relieving pressure.
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Biomedical subjects
Publications and source records attributed to S Rithalia.
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Mattresses designed for clinical applications are deceptively simple pieces of equipment. Their primary function is to comfortably support the patient in an appropriate position. However, there are many other technical factors that affect the quality of the support surfaces. In this paper we discuss the basic functions that mattresses should fulfil, explain some of the underlying mechanics and discuss CE marking and other standards.
Pressure ulcers cause great pain and suffering to patients as well as unnecessary strain on nursing staff. Their treatment is both costly and time consuming. Every effort therefore should be directed towards their prevention. Understanding of the aetiology of pressure ulcers is still incomplete and assessment of devices aimed at prevention is difficult. Over the years, numerous parameters, including interface pressure and transcutaneous blood gas measurements, have been used to evaluate mattresses and cushions. However, the quality of the data gathered is variable and its clinical interpretation remains unsatisfactory. It could be said that the science of evaluation of support surfaces is still at a formative stage, as clinical validation of many of the approaches has yet to be carried out.
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