Improve Lives Through Pressure Sore Prevention
Share The Benefits!
Our goal is to empower you to serve your patients better. That is why we are providing everything you need to do this yourself confidently.
1. Important Concepts
There are 2 main concepts of pressure relief in cushions: off-loading and immersion. The Foam Cut Out process is an Off-loading technique. The concept of immersion aims to minimize pressure beneath bony prominences by distributing the pressure more evenly over larger surfaces (Fig. 1). On the other hand, the concept of off-loading involves completely unweighting high-risk areas, such as bony prominences, by recessing the surface beneath the sitting area. This redistribution of pressure directs it toward larger and less bony structures, such as the posterior thighs and trochanters.
Off-Loading
Pressures are redistributed to soft tissues and trochanters.
​Developed by John Rogers and Dr. Shannon Stauffer, the off-loading technique involves custom-fitting cushions (FCCs) to alleviate pressure on bony prominences by redistributing weight. This method was instrumental in drastically reducing pressure injuries among individuals with SCI and the elderly in nursing homes. Current research, including studies utilizing MRI and pressure mapping, confirms the effectiveness of off-loading cushions like the RIDE™ orthotic-style cushion in preventing tissue deformation and enhancing comfort for individuals with unique anatomical needs.
Immersion
Pressures under pelvis are distributed evenly. ​
The immersion technique, becoming more accessible in the early 1980s with the advent of off-the-shelf cushions, uses mediums like air, gel, or fluid for pelvis support. This method surrounds the bony prominences, allowing for an even distribution of pressure, which is essential in preventing skin breakdown. While this technique provides a broad application for pressure relief, advancements in pressure mapping have shown that it does not effectively prevent tissue deformation, which can lead to pressure injuries.
2. Materials
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Foam Cushion
Sunset Medical
Sunset Medical
Steve DeLeo
Phone: 714 784-6800
Direct: 714 720-6225
sunsetmedicalproducts@gmail.com
Spring air foam: 1" of 4# foam laminated over 3" of 5# foam with knit nonskid cover
Electric Knife
A simple electric carving knife is all you need to easily cut the foam. We recommend the 9 in Black & Decker but any electric carving knife will work.
Permanent Marker
The permanent marker is best able to write directly onto the foam to easily see what to cut.
Plastic Bag
?
Cutting Template
We can provide the measurements for you to easily create your own template you can use for most fitment situations.
Foam Cushion
FreedomDesigns.com
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4. How To Videos
Video Case Examples
Ongoing Care
Initially, Skin Checks After 1-2hrs
After receiving your new FCC it is important to check your skin frequently for the next 24hrs. Conduct an initial check after 1-2 hours.
Frequent Pressure Relief
2 Minutes Every Hour - (No immediate issues)
15 Seconds Every 15 Minutes - (Recovery from flap surgery, active pressure injuries, high risk)
Methods
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Depression
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Side to Side
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Forward
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Power Seating - "Tilt Back Fully" and then "Recline the back"
Daily Monitoring
Daily inspection of pressure sore prone areas at night before bed.
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