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DERMAPAD Pressure Redistribution Pads. Pressure Injury: a growing concern Introduction of the National Safety and Quality Health Service Standard 8 (Preventing.

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Presentation on theme: "DERMAPAD Pressure Redistribution Pads. Pressure Injury: a growing concern Introduction of the National Safety and Quality Health Service Standard 8 (Preventing."— Presentation transcript:

1 DERMAPAD Pressure Redistribution Pads

2 Pressure Injury: a growing concern Introduction of the National Safety and Quality Health Service Standard 8 (Preventing and Managing Pressure Injuries) into Public Health Services 1 Publication of the Pan Pacific Clinical Guideline for the Prevention and Management of Pressure Injury 2 Expansion of Pressure Injury prevention protocols in facilities including early risk assessment and elements such as :  Regular repositioning  Regular skin inspection  Keeping the skin clean and dry Pressure injury outline of care  Adequate nutrition  Specialised devices (e.g. DERMAPAD™)

3 DERMAPAD ™ as part of a care plan  Designed to help prevent pressure injuries 3  Protects bony areas with less fatty tissue 4  Redistributes pressure to avoid high pressure points 3,4  Helps to reduce erythema and prevent progression of skin damage 3 DERMAPAD is a polymer gel pad that redistributes pressure to relieve critical areas 3,4

4 The pads are indicated for use on intact skin and can be used on: Areas at risk or areas already showing signs of developing skin damage 5 Stage 1 pressure injuries to prevent deterioration and aid tissue recovery 6 Recently healed pressure injuries to help prevent re-injury 7 Under devices to prevent skin damage When to use DERMAPAD DERMAPAD ™ as part of a care plan

5 Where to use DERMAPAD DERMAPAD ◊ can be used on bony areas that are subject to high pressure points, or under devices that cause pressure points

6 DERMAPAD ™ clinical Sylvie Hampton, Wound Healing Centre, Eastbourne UK An evaluation of DERMAPAD Heel Pad 6 Methodology 28 residents in 3 aged care facilities Waterlow score >15 (high-risk) Existing Grade 1 pressure damage Visual & ultrasound inspection Treated with DERMAPAD for 2 months Results All the treated heels improved showing less erythema Ultrasound showed improvement below the skin Tissue returning to pre-injured state within 1 week after commencing treatment The heels without DERMAPAD did not improve Showing oedema Resembling uninjured skin within one week Aged care facility

7 DERMAPAD ™ clinical Sylvia Leonard, Luton & Dunstable Hospital UK An evaluation of shaped dermal pad in an acute care hospital 5 Methodology 2 geriatric wards, 1 orthopaedics, 1 surgical DERMAPAD used in conjunction with repositioning and regular skin inspections Comparing incidence, severity and number to 3 months prior Results 87% reduction in incidence of hospital acquired pressure injuries 75% decline in the overall number of pressure injuries 76% reduction in expenditure Number of pressure injuries Pressure injury incidenceSeverity of pressure damage Percentage Hospital

8 DERMAPAD ™ product range  Available in a wide range: 9 variants across 4 shapes  Made from a unique polymer gel that acts like fatty tissue  Highly conformable and flexible for use in all areas  All variants can be cut with scissors for specific uses  Can be held in place with a secondary fixation tape  Can be washed and re-used by the same patient

9  Long section across the foot for seated patients  Long section across the heel for patients in bed  Large variant for large feet or areas with swelling or fluid build-up  Can also be used on elbows and knees Heel Standard Large DERMAPAD ™ Heel Long section across the foot Long section across the heel

10 Keep in place with a tubular bandage (e.g. TENSOGRIP ® ) Put on the tubular bandage Fold back the bandage and put DERMAPAD in place Stretch the bandage in an arch back over DERMAPAD Job done DERMAPAD ™ Heel fixation Heel Note: the tubular bandage should be applied from the toes up to the knee to avoid swelling Up to knee Down to toes

11  Sacral area  Ankle wrap  Around the shoulder or hip  Around the back of the head Sacrum Ankle Wrap DERMAPAD ™ Sacrum/Ankle Wrap

12 Keep in place with body weight (do not use when mobile)  Position DERMAPAD Sacrum on the mattress and rest the patient on top of it  Use DERMAPAD Sacrum to protect the hip bone when repositioning  Do not stretch or tug DERMAPAD Sacrum during repositioning  Position between the patient’s lower back and the chair when seated (underwear can be used to keep in place)  When used as ankle wrap, secure with TENSOGRIP ® or HANDY ® CREPE bandage  Can also be used to rest head or shoulders on  Do not use when the patient is mobile DERMAPAD ™ Sacrum/Ankle Wrap fixation Sacrum /Ankle

13  Under the foot or head whilst resting  Between knees or between chin and chest  Flat or folded for hand contractures (stroke rehabilitation)  Large sheets around the foot or on the shoulder whilst lying down Sheet 10 x 10 x 0.3cm20 x 20 x 0.3cm 10 x 10 x 1.2cm20 x 20 x 1.2cm DERMAPAD ™ Sheet

14 Keep in place with body weight  Keep the sheet in place by lying on top of it (head; shoulders; babies)  The 20x20cm sheets can be positioned on the bed to rest the heel or ankle  Roll-up the 10x10cm sheets for hand contractures (no fixation needed)  Place 10x10cm sheets between knees (no fixation needed)  Keep the thin 10x10cm in place with OPSITE™ Flexifix Gentle if needed DERMAPAD ™ Sheet fixation Sheet

15  Between fingers and toes  Behind the ear  Over the nose under face masks  Wider strip is also commonly used down the spine Strip 50 x 2.5 x 0.3cm 30 x 5 x 0.3cm DERMAPAD ™ Strip

16 Keep in place with OPSITE™ Flexifix Gentle silicone tape (or with whatever is causing the pressure)  The strip is very versatile and can be cut to smaller pieces  Keep in place between fingers or toes; or under oxygen masks  Use wide strip along the spine (keep in place with OPSITE™ Flexifix Gentle )  Cut small pieces to use under tubing (keep in place with OPSITE™ Flexifix Gentle ) DERMAPAD ™ Strip fixation Strip

17 Indication: Protection against potential skin breakdown for patients at risk of pressure damage Directions 1. Select the appropriate size and shape from the range 2. Remove the product from the plastic container 3. Apply directly to the affected or at risk area (either side of the pad) 4. If necessary the pad may be secured with a suitable fixation device (e.g. OPSITE™ Flexifix Gentle, and TENSOGRIP ® or HANDY ® CREPE bandage) 5. The skin under the pad should be inspected regularly in line with local clinical protocols 6. The pad can be washed in soap and water for re-use with the same patient. The pad must be dry before reapplication. Contraindications Do not use on broken skin Do not obstruct nose or mouth airways If a skin reaction occurs discontinue use DERMAPAD ™ instructions for use

18 DERMAPAD ™ skin inspection routine Add DERMAPAD to your patient checklist: Check if DERMAPAD is in place on at-risk areas 1.Remove the DERMAPAD pad and inspect the skin 2.Cleanse the skin using a soap-free, pH balanced product such as SECURA™ Cleanser 3.Wash the DERMAPAD pad with soap and warm water, rinsing well 4.Dry the DERMAPAD pad and reapply, ensuring skin is also dry Note: DERMAPAD can be marked with permanent marker with the patient’s initials or the site for application (e.g. “L heel”)

19  Reduces the Human cost of Pressure Injuries  Contributes to a reduction of the impact of PI on patients’ quality of life 4  Contributes to a reduction in morbidity 4  Reduces the Economic cost of Pressure Injuries  Can be washed and reapplied on the same patient 3,4  Contributes to a significant decrease of the treatment costs associated with PI 4 The introduction of Dermapad in a UK hospital generated a cost saving of 70% over 3 months Fewer PI occurrences Reduction in the severity of PI Dermapad costs represented less than 2% of savings  Can be easily incorporated into existing PI prevention protocols 4  Requires minimal training 3,4  Simple and intuitive to use 3,4  3 years shelf life DERMAPAD ™ other benefits

20  DERMAPAD is a polymer gel pad that redistributes pressure to relieve critical areas 3,4  9 variants across 4 shapes to fit all body parts  Washable and re-usable on the same patient  Can be cut to size with scissors  Should be used as part of a wider care plan that includes repositioning and specialised equipment DERMAPAD ™ summary

21 DERMAPAD ™ ordering information S&N codeDERMAPAD Qty/Carto n Cartons per case Sheet 10 x 10 x 0.3cm Sheet 10 x 10 x 1.2cm Sheet 20 x 20 x 0.3cm Sheet 20 x 20 x 1.2cm Heel Standard Heel Large Heel Standard BulkN/A Sacrum / Ankle wrap Strip 50 x 2.5 x 0.3cm Strip 30 x 5 x 0.3cm512

22 References 1.Australian Commission on Safety and Quality in Healthcare. National Safety and Quality Health Service Standards, September work/accreditation/nsqhss/ Accessed 6 December Australian Wound Management Association. Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury, Accessed 6 September Hampton S, et al. Aderma heel pads in the prevention of pressure ulcers in nursing homes. Wounds UK 2012;8: Woods S, Aderma dermal pads in the prevention of pressure ulcers, Wounds UK 2012;8: Leonard S, Ormond K. An evaluation of a shaped dermal pad and their influences on pressure ulcers in an acute foundation trust. Poster presented at Wounds UK Conference, Harrogate; Hampton S, et al. An evaluation of Aderma Heel Pad. Data on file; Finn M. Patient Testimonial form; Smith & Nephew Pty Ltd Healthcare Division Australia 315 Ferntree Gully Road (PO Box 242) Mount Waverley 3149 Victoria Australia T F ◊ Trademark of Smith & Nephew © Smith & Nephew September 2012 New Zealand 621 Rosebank Road, Avondale PO Box 442 Auckland 1140 New Zealand T F


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