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Beds: Practical Pressure Management for Surfaces/Mattresses

Norton, Linda BScOT, OT Reg(ONT), MScCH; Coutts, Patricia RN, IIWCC; Sibbald, R. Gary MD, MEd, BSc, FRCPC(Med)(Derm), MACP, FAAD, MAPWCA

Advances in Skin & Wound Care: July 2011 - Volume 24 - Issue 7 - pp 324-332
doi: 10.1097/01.ASW.0000399650.81995.6c
Features: Clinical Management Extras

PURPOSE: To enhance the learner's competence with knowledge of forces that affect skin breakdown and available bed surface support selections to help reduce the incidence of pressure ulcers (PrUs).

TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.

OBJECTIVES: After participating in this educational activity, the participant should be better able to:

1. Compare and contrast use of active and reactive support surfaces.

2. Relate pressure, friction, and shear forces to use of active and reactive support surfaces in prevention of PrUs.

3. Apply the principles learned from this activity in determining appropriate support surface selections for patients with various clinical scenarios.

ABSTRACT: The prevention and management of pressure ulcers, including support surface selection, are a primary focus of healthcare providers. This article discusses the forces contributing to pressure ulcer formation and explores choosing therapeutic support surface features based on the patient's clinical needs and on using the evidence-informed support surface algorithm and decision trees.

This continuing education activity explores the forces contributing to pressure ulcer formation and explores choosing therapeutic support surface features based on the patient's clinical needs and on using the evidence-informed support surface algorithm and decision trees.

Linda Norton, BScOT, OT Reg(ONT), MScCH • National Education • Shoppers Home Health Care • Toronto, Ontario, Canada

Patricia Coutts, RN, IIWCC • Wound Care and Clinical Trials Coordinator • Dr R. Gary Sibbald, Debary Dermatologicals • Mississauga, Ontario, Canada

R. Gary Sibbald, MD, MEd, BSc, FRCPC(Med)(Derm), MACP, FAAD, MAPWCA • Professor • Public Health Sciences and Medicine • Director • International Interprofessional Wound Care Course and Masters of Science in Community Health • Dalla Lana School of Public Health • University of Toronto • Ontario, Canada • Clinical Associate Editor • Advances in Skin & Wound Care • Ambler, Pennsylvania

Ms Norton disclosed that she does not have an financial relationships with, or financial interests in, any commercial organizations related to this educational activity. Ms Coutts disclosed that she was a recipient of grant/research funding from KCI. Dr Sibbald has disclosed that he was/is a consultant/advisor to Gaymar; was a consultant/advisor to KCI; was/is a member of the speaker's bureau for Gaymar; and was a member of the speaker's bureau for KCI. The authors' spouse/life partners have nothing to disclose.

All staff, including spouses/partners (if any), in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.

Lippincott CME Institute has identified and resolved all conflicts of interest related to this educational activity.

To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least 13 of 18 questions correctly.

This continuing educational activity will expire for physicians on July 31, 2012.

© 2011 Lippincott Williams & Wilkins, Inc.