Support Surface Guide

Often overlooked in discussions about treating pressure ulcers is the crucial concept of prevention. A complete pressure ulcer prevention plan involves factors such as proper skin treatment, good nutrition, and addressing the root cause – pressure. Constant patient rotation is essential, but equally important is the support surface. Effective pressure-reducing support surfaces distribute pressure over a wider area, preventing ulcers. This overview explores available surfaces, their advantages, and considerations for choosing the right system based on your medical situation. 

Overlays & Mattresses: 

Overlay systems or mattress replacements are considerations. Overlays, though portable and less costly, may lead to 'bottoming out.' Replacement mattresses offer better pressure reduction but are pricier and bulkier.

Types of Support Surfaces: 

Foam: Portable and versatile, foam may raise safety concerns due to increased mattress height.

Viscoelastic (Visco): Temperature-sensitive, conforming to the body's shape, enhancing pressure distribution. 

Low-Air Loss: Air pockets conform to the body, and air flow helps reduce pressure. Proper inflation is crucial.

Dynamic or Alternating Pressure: Rows of air cells shift pressure, preventing prolonged pressure on any one body area.

Fluid-Filled (Gel or Water): Gel or water compartments disperse pressure, with a vinyl shell for easy cleaning.

Air-Fluidized: Glass beads create a fluid state, allowing deep immersion, relieving pressure on bony areas. 

Considerations: 

Cost: Evaluate costs and coverage with your health care provider. 

Medical Situation: Choose based on your specific medical needs. 

Setting: Consider home care environments and space limitations. Prevention is paramount, and selecting the right support surface is a collaborative decision with your health care professional. Together, find the system that best suits your health and lifestyle.