EPUAP - NPIAP-PPIA - CLINICAL PRACTICE GUIDELINE 2019: Pressure ulcer/injury prevention and treatment solutions Considerations on support surfaces, safe patient handling and pressure ulcer/injury prevention for clinicians with people in mind

Arjo pressure ulcer/injury prevention & management solutions As a leading global provider of solutions to help you deliver preventable harm for patients at risk from pressure injuries and other avoidable complications of immobility, we would like to share with you how Arjo’s range of products and integrated solutions align to the new recommendations. Prevention and treatment of pressure injuries: clinical practice guideline1 The launch of the 2019 guideline represents a truly international perspective of pressure ulcer/ Our solutions are designed to help create safer and more efficient healthcare...

Active (alternating) support surfaces for prevention & management of Pressure Injuries “Assess the relative benefits of using an alternating pressure air mattress or overlay for individuals at risk of pressure injuries” 5 Support surfaces for individuals with existing pressure Injuries Considerations: • An alternating air pressure mattress overlay will require a quality base mattress. Substandard base mattresses may affect performance6 • Where possible continue a regular turning and repositioning regimen with frequency based on the needs of the individual6 “For individuals with a pressure injury,...

Non-powered reactive surfaces Managing microclimate “Use a high specification reactive single layer foam mattress or overlay in preference to a foam mattress without high specification qualities for individuals at risk of developing pressure injuries” 11 “An increasing body of evidence suggests that microclimate between the skin and supporting surface plays a role in the development of Pressure Injuries” 16 Top layer Temperature Spacer SIMULFLEX SKIN IQ MICROCLIMATE Skin IQ MCM mode of action With foam pressure redistribution mattresses often delivering the first line of defence against pressure...

Standing & Raising aids For chair bound patients, regular relief of pressure is vital to help protect the skin against tissue damage. In addition to a pressure redistributing cushion , the use of a standing and raising aid such as Sara Plus™ or Sara Stedy™ can facilitate standing to allow regular skin inspection and temporarily relieve the sustained high pressures normally encountered during sitting. Sara Plus Sara Stedy “Reposition the individual to relieve or redistribute pressure using manual techniques and equipment that reduce friction and shear.” 22 Implementation considerations: “Use moving...

Early Mobilisation "Keep the head of the bed as flat as possible"26 "Maintaining a flat position should be evaluated with consideration to the individuals clinical needs. When elevating the head of the bed maintain elevations at 30° or lower to minimise soft tissue deformation."27 As a global leader in healthcare medical bed design, Arjo has incorporated features such as a 30 degree pause facility and visible angle indicator to help position patients appropriately. Individuals should be positioned and supported to prevent sliding down in bed creating shear forces28. Articulating bed frame designs...

Please note: This document is not designed as a comprehensive overview of guideline recommendations. Always refer to the full guideline document or quick reference guide when planning care or making any clinical decisions. Please also note that the international guidelines do not provide any endorsements of a specific product. This guide has been developed to provide the reader with an overview of products and solutions available from Arjo which may help you in your quest to prevent or manage pressure injuries. The references listed below by page number, refer to direct statements appearing in...