Prevalon Heel Protector I for Heel Pressure Relief - Cushioned Boot for Elevated Heel Support - Designed for Bed Bound Individuals - Qty 1

£43.41
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Prevalon Heel Protector I for Heel Pressure Relief - Cushioned Boot for Elevated Heel Support - Designed for Bed Bound Individuals - Qty 1

Prevalon Heel Protector I for Heel Pressure Relief - Cushioned Boot for Elevated Heel Support - Designed for Bed Bound Individuals - Qty 1

RRP: £86.82
Price: £43.41
£43.41 FREE Shipping

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Several stakeholders supplied new evidence, however none was suitable for inclusion in the surveillance review for various reasons (unpublished research, unsuitable evidence type, not in scope, outside search dates). Our expert panelists offer essential keys to diagnosis, share their insights on offloading modalities, and discuss mattresses and beds to help resolve pressure issues. Q: What is your diagnosis and treatment approach when you see a new patient with a pressure ulcer in lower extremities? A:

A stakeholder wanted to draw attention to limitations of moist wound care. However the current surveillance review identified 2 RCTs showing benefit of moist dressings, which agrees with the guideline recommendation to consider using a dressing that promotes a warm, moist wound healing environment. A cross-referral to the NICE guideline on diabetic foot problems: prevention and management will be made from recommendations 1.4.26 and 1.5.24. Forty patients will be randomised, 20 to receive Prevalon boots and 20 to receive the standard pressure ulcer prevention method used by the ward they are on, to be used whilst in bed. Patients will be assessed daily for 10 days and at each assessment their heels will be photographed using a high resolution digital camera. A blinded assessor will assess all of the photographs to determine whether pressure damage has occurred at the heels. The following sentence will also be added to the guideline introduction: 'NHS Improvement has also produced a guide to help deliver a consistent approach to defining and measuring pressure ulcers, and helping to understand the level of pressure damage harm in England: Pressure ulcers: revised definition and measurement framework'. A stakeholder queried if frail older people should be a separate category in the guideline. No evidence was found about this issue by the current surveillance review. The Waterlow score (1 of 3 tools the guideline recommends considering for assessing ulcer risk) includes items for age, and skin type (for example tissue paper - thin/fragile). No impact on the guideline is currently expected.NICE guideline CG179 recommendations 1.4.3 and 1.5.3 refer to the International NPUAP‑EPUAP [2009] Pressure Ulcer Classification System. This has had 2 revisions since 2009, therefore the reference to a specific year will be deleted. A study published in JWOCN found the use of Prevalon and a heel pressure injury prevention protocol led to a 95% decrease in heel pressure injuries. 2 Another study published in JWOCN demonstrated a 100% prevention of both heel pressure ulcers and plantar flexion contracture over a seven month period when using the heel protector device. 3

Kazu Suzuki, DPM, CWS, views treating pressure ulcers like treating any other wounds. He starts with a thorough history, figures out when and how the pressure ulcers started, and what kind of pressure formed the ulcers. Similarly, Martin Wendelken, DPM, emphasizes the importance of having a clear understanding of the patient’s activities of daily living and ability to perform those functions, and includes a Braden Scale assessment on the patient. Dr. Suzuki routinely recommends beds and mattresses. As he notes, the general recommendation on beds is that patients with minor pressure ulcers (stage 1 or 2) should have a memory foam mattress or mattress topper (overlay) a minimum of 3 inches high, which patients can buy without prescriptions in most bedding stores and in larger markets at stores like Costco or Target. Dr. Suzuki says patients with more substantial pressure ulcers (stage 3 or 4) will most likely need a powered air bed (i.e. low air loss, air fluidized, etc.), saying that will require prescriptions, detailed medical records for submission, and help from a local medical supply durable medical equipment company. A stakeholder noted the EPUAP references in the guideline need updating, which we will do via an editorial amendment. In one study, implementation of a heel pressure injury prevention protocol that included Prevalon Heel Protector resulted in a 28% decrease in facility- acquired heel pressure injuries over a one-year period. Continued use of the Prevalon Heel Protector over four years coupled with in-depth education, continuous monitoring of compliance, and continual reporting of outcomes to ensure accountability, resulted in a cumulative 72% decrease in heel pressure injuries. 4 Integrated Anti-Rotation Wedge helps prevent lateral rotation, reducing risk of peroneal nerve damageMultiple guidelines recommend the use of a heel protection device that completely offloads the heel to help prevent the development of heel pressure injuries. 1,2 Prevalon ® Heel Protectors are the number one brand of heel protection. 3 They offer continuous heel offloading to protect your patients’ heels. START A TRIAL Choose the optimal heel protector Association of Perioperative Registered Nurses (AORN) Standards Recommended Practices and Guidelines Depending on the stage of the ulcer, Dr. Wendelken prescribes a number of offloading boots for pressure redistribution. He has lately had “great results” with the Waffle Heel Elevator Custom (EHOB).

A cross-referral to the NICE guideline on peripheral arterial disease: diagnosis and management will be made from recommendation 1.4.26. A study published in JWOCN found the use of Prevalon and a heel ulcer prevention protocol led to a 95% decrease in heel pressure ulcers. 2 I despise those heel cradle cushions,” says Dr. Suzuki. “They are widely used pillow boots that are attached directly to the heel itself. They add bulk to the heel and do nothing to prevent or offload heel pressure ulcers.” Q: Do you recommend or prescribe a bed or mattress for their pressure issues? A:Dr. Suzuki is the Medical Director of the Tower Wound Care Center at the Cedars-Sinai Medical Towers. He is also on the medical staff of the Cedars-Sinai Medical Center in Los Angeles, and is a Visiting Professor at the Tokyo Medical and Dental University in Tokyo. Another study published in JWOCN demonstrated a 100% prevention of both heel pressure injuries and plantar flexion contracture over a seven month period when using the heel protector device. 3 Individuals in bed who are completely immobile should have a care plan that includes the use of devices that totally relieve pressure on the heels, most commonly by raising the heels off the bed.” 2 Dr. Sage evaluates the wound for signs of infection and evaluates the foot for signs of ischemia. If infection is present, he says debridement and/or antibiotics may be necessary, but he does not debride stable, non-infected blisters or eschars. When a new patient presents with what appears to be a pressure ulcer on the lower extremity, Dr. Wendelken proceeds with a vascular assessment that includes an ankle/brachial index, a neuropathy assessment that utilizes the Semmes Weinstein test, and an assessment of mobility and range of motion.



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