Comfortable, Constant, Quiet...Pressure Relief

Transcription

1 Comfortex Rest-Q mattress Comfortable, Constant, Quiet...Pressure Relief Stratos Top Cover is waterproof and can be easily wiped clean. Stratos fabric is the industry s best protection against MVT. Highly Resilient Layer of Cushioning material conforms to subtle bony prominences. This layer spans over the entire surface to create a perfect blend of pressure reduction and patient comfort. Patents Pending Ultra Firm Edges makes transferring in and out of bed safer and easier. Super Soft Strip of Engineered Polymer provides pressure relief where needed most. When side laying, hips and shoulders benefit from this pressure relieving area. Handles Shown are actually positioned with reinforced stitching to the underside of the mattress to prevent accidental heel entrapment when patients are exiting the bed. Lateral Support Sections provide cushioning support beneath the patient along each side of the spinal column. Slightly softer at the shoulders, slightly firmer beneath the hips. Unique Heel Suspension System virtually floats the heels across a low pressure environment. Weight limit The Rest-Q comfortably supports patients weighing lbs. We have had zero breakdown... We love the Rest-Qs, it was the only product that performed to our expectations and since our purchase we have had zero breakdown. RN, DON, Greeley, CO It put more expensive specialty beds to shame... This facility deals primarily with MS and Spinal Cord Injuries. The patients we have had on the Rest-Q have had nothing but praise for the mattress. Our PT department did its own pressure testing and the results blew them away. It put more expensive specialty beds to shame. RN, Philadelphia, PA Comfortex An Avatar Enterprises, Inc. company Wilkie Drive Winona, MN Toll Free Phone (507) Fax (507)

2 Comfortex Rest-Q Mattress Clinical Application ( Pressure relief for increased comfort, pain management and wound care. Stages 1-4 ) The Rest-Q was developed and has proven to provide body absorbing comfort, pressure reduction and pressure relief to the areas most prone to breakdown. Beneath the patient s heels, spinal column and hips (when side laying), ultra soft portions of the mattress allow these sensitive areas to virtually float between the mattresses more supportive materials. When compared to more costly therapeutic surfaces, the Rest-Q consistently demonstrates superior pressure reduction. This advanced pressure reduction is no substitute for Nursing Care. Preventing and treating pressure related problems requires vigilant care. No support surface can or should be considered a substitute for the care nursing provides. You re what really makes the difference. Product Use Top Cover The dark blue nylon top cover reduces shear forces. This fabric is both water & vapor proof. It can be wiped clean with properly diluted hospital cleaning solutions. Should the top cover ever become damaged, it can be zipped off and replaced. Suspended Heels The Rest-Q mattress has a specially designed foot-end to suspend & protect sensitive heels. The foot-end of the mattress is labeled and should always be properly positioned on the bed. Supported Suspended Built in Bridging for the Sacral area, Spinal Column & Hips. Along with the pressure relieving heel area, the mattress has a soft strip that passes from head to foot beneath the patient s spinal column. This soft material gently absorbs the bony prominences along the spine & sacral area. Firmer material along each side of this pressure relieving strip supports the patient, helping to bridge the body s more sensitive areas. When turning someone onto their side, try to position their hips over this pressure relieving area in the middle of the mattress.

3 Comfortex Rest-Q Mattress Case Study Regions Hospital Outpatient Wound Clinic 640 Jackson St., St. Paul, MN Evaluator: Jan Chevrette, RN, BSN, CWOCN Evaluation Period: to Patient: Rick C., 63 year-old male, quadriplegic and wheelchair dependent since MVA at age 18 years Initial Evaluation Findings on : Braden Score: 10 Sleep Surface: Hi-Lo residential electric bed with low air loss mattress overlay Current Diet: Infrequent small meals & protein supplements, diminished appetite Wt: 158.8#. HGB: 12.0 g/dl. (L) Albumin: 2.5 g/dl (L) Sed Rate: >140 mm/hr (H) C-reactive protein: 23.5 mg/dl (H) Findings on Braden Score: 13 Sleep Surface: Comfortex Rest-Q mattress Current Diet: protein supplements, normal appetite Wt: 175.4# HGB: 9.9 g/dl. Albumin: 3.7 g/dl Sed Rate: 100 mm/hr (H) C-reactive protein: 5.7 mg/dl (H) Exit Evaluation Findings on Braden Score: 13 Sleep Surface: Comfortex Rest-Q mattress Current Diet: Infrequent small meals & protein supplements, normal appetite Wt: 196#. HGB: 11.8 g/dl. Albumin: 3.9 g/dl. Sed Rate: 38 mm/hr (H) C-reactive protein: 1.4 mg/dl (H) Bed surface: Initially, the patient was on total bed rest on a low air loss overlay which he found to be 1) uncomfortable due to firmness 2) contributed to neck and shoulder pain 3) required frequent repositioning for comfort 4) was noisy and interfered with sleep and 5) did not contribute to the decrease in ulcer size on the sacrum, (L) trochanter, and (R) ischeal tuberosity. **Patient was placed on the Comfortex Rest-Q mattress on and reported the following observations: 1) decreased pain in shoulders and back 2) frequent repositioning was no longer necessary 3) foam mattress did not absorb body heat 4) slept more soundly with fewer awake periods 5) no noise and most importantly 6) ulcers improved. Summary of Ulcer Characteristics (L) trochanter size 7.8 x 5 x 2 cm deep 5.5 x 3 x 0.8 cm deep base Exposed bone, access to joint Viable, no bone exposed space some viable tissue unable to access joint space margins rolled epithelializing undermining 3.2 cm at 10 o cl none Sacrum size base margins undermining 3.5 x 2.3 cm x 2.5 cm deep viable Viable, stalled, indurated 2.9 at 9 o cl ischeal tuberosity size 6.2 x 4.2 cm x 2.1 cm deep base Exposed bone, some viable tissue margins Rolled undermining 1.9 cm at 9 o cl Healed 2.5 x 1.7 x 1 cm deep Viable/granular Epithelializing, scarred 2.2 at 9 o cl 1.5 x 0.2 cm at granular Epithelializing, scarred none 2.5 x 0.7 x 0.5 cm deep granular epithelializing none Healed Conclusions from the Comfortex Rest-Q Evaluation: 1) Patient perceived many benefits from the Comfortex mattress listed above. 2) Comfortex mattress is appropriate for patients with a wide variety of health care needs and does not have to be discontinued when improvement goals have been met. 3) All ulcers improved on the patient with many barriers to healing. 2

4 The following are the results from a case study conducted during an evaluation of the Comfortex Rest-Q mattress by the Wound Care Nurse at the VA Medical Center in Pittsburgh, PA. The patient, 79 year old male, who has S/P fracture left hip. He has multiple ulcers ( 4 sites ). The patient has a history of dementia. His appetite has been inconsistent. He is incontinent of both bowel and bladder. July 23rd, 2003 Patient is placed on a Comfortex Rest-Q mattress. Braden Score: 12 Diet: Soft Foods Wt: lb (07/08/2003) HGB: 9.9 (07/08/2003 5:30) Total Protein: 7.0 Albumin: 2.8 (L) September 25th, 2003 Braden Score: 11 Diet Soft Foods Wt: 143 lb (09/10/2003) HGB: 10.6 (09/22/2003 5:30) Total Protein: 6.2 (09/08/2003) Albumin: 2.8 (L) (09/22/2003) Results Wound 1 7/ cm - 9/ cm Wound 2 7/ cm - 9/ cm Wound 3 7/ cm - 9/ cm Wound 4 7/ cm - 9/25 healed Results continued. The Wound Care Nurse that who conducted this case study shared that she was amazed by the results she had seen, taking into consideration the patient s fluctuating health. The patient continues to heal and rest comfortably on the Rest-Q mattress. The Nurse jokingly said that her patient would fight her for that mattress if she tried to take him off of it. He is very pleased and very comfortable. Pain Reduction Study The German Institute of Healthcare Research studied the effect that two of Europe s leading, yet very different pressure reducing mattresses would have on patients suffering with chronic pain. The mattresses used in this study were the Tempur Visco Elastic mattress and the Comfortex Engineered Polymer mattress. low, up to 5x per shift medium, up to 15x per shift high, 15x per shift Awaking as a result of pain All but 2 patients reported changes in their level of pain & discomfort when moved from the standard hospital mattress. The number of patients who awoke as a result of pain was reduced by 21% on the Visco mattress and reduced by 52% on the Comfortex mattress. Number of Call Lights answered for each patient requesting help with pain The number of call lights was reduced by 18% when on the Visco mattress and by 43% when on the Comfortex mattress. ( see graphs ) low, up to 5x per shift medium, up to 15x per shift high, 15x per shift Requested pain medication The need for pain medications was not reduced for Patients on the Visco mattress. However, pain medication dosages were reduced by 24% during the nighttime hours and by 16.5% during daytime hours for Patients on the Comfortex surface. Conclusion This Institute suggests that pressure reducing mattresses can have a positive effect on pain reduction and the quality of life for those dealing with painful ailments. This study also concluded that the Comfortex mattress had made a significant contribution towards the comfort and well-being of their test subjects. 3

5 LaCrosse County CMO LaCrosse, WI Patient: 74-year-old female. Diagnosis: type II diabetes, end stage renal failure (on dialysis 3 x week), right leg amputation, atrial fib, bradycardia with pacemaker, stage III decubitus ulcers, hypothyroidism, depression, peripheral vascular disease and history of small bowel obstruction. Patient receives 23 hours per day of home health nursing. Patient is assisted with all activities of daily living. Bed/chair bound, transfers with a hoyer lift. Prior to being placed on the Comfortex Rest-Q mattress, the patient was using a hospital mattress with an air overlay. Labs: HGB 14.0 at start of study HGB 8.0 on 2/06/2005 Diet: regular diabetic with daily supplements. Weight: 75 Kg Skin Assessment: Right Anterior Thigh 12/5/2004 1/4/2005 2/1/2005 Size 4.5 cm 4.0 cm Closed Right Buttock Comfortex Rest-Q Mattress Assessment Size 11.5 cm 4.7 cm 1.6 cm x.4 cm Left Buttock 12.3 cm x 3 cm 11.5 cm x 3 cm 3 cm x 1.8 cm Pain Assesssment: Patient states to nursing that her comfort level has improved after being placed on the Rest-Q mattress. Supporting nursing notes and health assessment review show pain level to be scored as a 1 on a scale of 1-5. Conclusion: Patient was at very high risk for continual skin breakdown due to diagnosis and immobility. She had continued to show improvement with healing and had no further skin breakdown. Comfort level increased when placed on the Rest-Q mattress. Nursing Documentation of case study can be obtained from Comfortex directly. Supervisor Monitoring Case Study, Mary Tabbert, RN, Nurse Manager

6 Therapeutic Surface Comparison On April 3, 2001 Comfortex conducted an Interface Pressure Evaluation with staff members from St. Mary s Hospital in Rochester, MN. The volunteer, a 115 lb. healthy female, was used to compare the pressure reducing capabilities of a low airloss bed, a low airloss mattress and Comfortex s non-mechanical Rest-Q mattress. Low Airloss bed Low Airloss mattress Interface pressures were recorded on a computer assisted X-SENSOR pressure monitor. Rest-Q Heel Area Sacral Area Shoulder Area Low Airloss bed Readings over 44 mmhg Readings over 52 mmhg Readings over 60 mmhg Low Airloss mattress Readings over 44 mmhg Readings over 52 mmhg Readings over 60 mmhg Rest-Q mattress Readings over 44 mmhg Readings over 52 mmhg Readings over 60 mmhg 0 0 2

7 Therapeutic Surface Comparison On June 8, 2005 Comfortex assisted with an Interface Pressure Evaluation with staff members from St. Mary s Hospital ( part of the Mayo system). The volunteer, a healthy female, was used to compare the pressure reducing capabilities of a zoned, air adjustable bed and Comfortex s non-mechanical Rest- Q mattress. 30 degrees Interface pressures were recorded on a computer assisted X-SENSOR pressure monitor. The tests images were in a supine flat and Head Of Bed elevated position at 30 degrees & 45 degrees. A pillow was positioned beneath the head when in the elevated position. Zoned 30 degrees Heel Area Sacral Area Shoulder Area Zoned Air System (Flat) Readings over 33 mmhg Readings over 50 mmhg degrees Readings over 33 mmhg Readings over 50 mmhg degrees Readings over 30 mmhg Readings over 50 mmhg Rest-Q mattress (Flat) Over 33 mmhg Over 50 mmhg degrees Over 33 mmhg Over 50 mmhg degrees Over 33 mmhg Over 50 mmhg 3 3 0

8 Non-Mechanical Therapeutic Surface Comparison On November 6, 2002, an Interface Pressure Evaluation was conducted with staff members from Providence Medical Center, Portland, Oregon. The volunteer, a 200 lb. healthy male was used to compare the pressure reducing capabilities of an Air Chambered mattress, a Foam-Gel mattress and Comfortex s Rest-Q mattress. Interface pressures were recorded on a computer assisted X-Sensor pressure monitoring device. A pillow was positioned beneath the subjects head. Air Chambered Foam-Gel Position: Laying Flat Rest-Q Heel Area Sacral Area Shoulder Area Air Chambered Readings over 30 mmhg Readings over 52 mmhg Foam-Gel Readings over 30 mmhg Readings over 52 mmhg Rest-Q mattress Readings over 30 mmhg Readings over 52 mmhg Rest-Q an advancement should simplify the process, reduce costs and improve the outcome.