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A review of pressure reduction device studies.

When considering patient morbidity, mortality and costs, pressure sore formation is a major health care concern. An adjunct to the nursing care plan for prevention and treatment is the selection of a pressure reduction/relief device. This review of four pressure reduction device studies is intended to increase the vascular nurse's knowledge base concerning pressure reduction device efficacy. Each study is reviewed and graphed to identify like patterns within each study. Foam is judged to be least effective. Air cell and air mattress overlays are found to be intermediate devices and the low air loss beds appear to be the most effective. Few of the tested devices reduced pressure below 32mmHg at the heel site, leaving the heel at risk for breakdown.

Bedding and Linens↗

Preventing pressure ulcers: choosing a mattress.

The standard hospital mattress is not suitable for patients at risk of developing pressure ulcers. The type of mattress or overlay system they require will depend on their pressure ulcer risk, medical history and local practice. This article provides a guide to pressure-relieving mattresses.

Bedding and Linens↗

Minimising cross-infection risks associated with beds and mattresses.

The spread of infection can be associated with inanimate objects in the environment, referred to as fomites. These include beds, mattresses, curtains, bedpans and sphygmomanometers, all of which may be contaminated with micro-organisms (Wilson, 2001).

Bedding and Linens↗

Pressure sores.

Explore the source record for details and available documents.

Bandages↗

[Revision consensus prevention and treatment decubitus].

The text of the Consensus Meetings Prevention and Treatment of Decubitus (pressure sores; 1985 and 1986 respectively) was adapted to current insights into pathogenesis and treatment. This adaptation was important since the costs of the prevention and treatment of decubitus are enormous and decubitus tends to occur more often since the population is growing older. The so called anti-decubitus devices were grouped in 3 categories: 1. polyether foam mattresses, placed on top of the standard hospital mattresses (merely in prevention and in treatment of patients less than 85 kg), 2. polyether foam mattresses with or without special surface layout or simple alternating pressure air mattresses, replacing the standard hospital mattress (especially in patients greater than 85 kg) and 3. special beds and bed systems as low-air-loss beds and air-fluidized beds (only on strict indications such as thoracic operations and intensive treatments). The clinical manifestations of decubitus were classified in 4 stages: non-blanching erythema (1), blister (2), superficial decubitus (3) and deep decubitus (4). The existence of another form of pressure sores was identified: decubitus originating from operation or angiography tables, on which a deep necrosis develops, extending to form an abscess, erupting through the skin after 7-14 days. These ulcers are characterised by an impressive depth, usually to the underlying bones, but with vivid edges. The development of these sores is prevented in most cases by using a category 1 device on the tables mentioned.(ABSTRACT TRUNCATED AT 250 WORDS)

Bedding and Linens↗

Prevalence of visceral leishmaniasis associated with the behaviors of the people in rural areas.

A cross sectional study was conducted by taking a random sample of 204 households of 5 VDCs in Sunsari district, Nepal with the objective to verify the prevalence of visceral leishmaniasis with behaviors of the people in endemic rural areas. Interviews with structured questionnaires and k-39 tests were used to collect information. From a sample of 204 respondents, 28 (13.73%) cases of Kala-azar (KA) were identified with k-39 test positive. Of them, 43% KA cases were found among Mushar ethnic group, 32% among Muslims, 11% cases among Tharus and 4% in Uraus and 11% in others. The difference in the prevalence of Kala-azar in people who had lands and in those who did not have were significant. People not owning lands were at 4 times greater risk of developing Kala-azar in endemic areas. Seventy seven percent of the people were bed net users. From 46 nonusers, 11 (23.91%) developed Kala-azar, which was significant as compared to bed net users. From among 196 'ground-floor' sleepers, 85 (43.34%) were ground sleepers and 111 (56.63%) were 'plung' sleepers. Nineteen (22.35%) of ground sleepers had suffered from Kala-azar, while 9 (8.11%) of 'plung' sleepers had suffered from Kala-azar. From all cases of Kala-azar, 25 (89.25%) had cracks and crevices on the walls of their living rooms. Sleeping on ground, non-use of bed-nets, landlessness, cracks and crevices on the floor and wall of living houses, poor living condition and overcrowding in houses, labors, dalit groups were identified as risks for Kala-azar.

Animals↗

Where should babies sleep?

An average of six babies die unexpectedly each week. Sudden infant death syndrome is the predominant cause but many deaths are recorded as unascertained. Medical experts continue to research the causes of these infant deaths, and advice to parents is constantly being evaluated and revised in an attempt to reduce the numbers even further. Bed shadng or co-sleeping is a topic that triggers debate and conflict of advice between health professionals, which may leave parents confused. Bed sharing is known to be dangerous when the mother smokes but there are other factors which are also dangerous and need to be considered before an informed decision is made. This article reviews some of the most relevant research in order to give health professionals the knowledge needed to aid parents in making their decision. Three main areas were studied because of their relevance to bed-sharing and sudden infant death syndrome. These were sleep position, smoking and alcohol consumption and breastfeeding. Recent concerns highlighting sofa sleeping are also considered.

Alcohol Drinking↗