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
Adequate nutrition
Specialised devices (e.g. DERMAPAD™)
Pressure injury outline of care

3. DERMAPAD™ as part of a care plan
DERMAPAD is a polymer gel pad that redistributes pressure to relieve critical areas3,4
Designed to help prevent pressure injuries3
Protects bony areas with less fatty tissue4
Redistributes pressure to avoid high pressure points3,4
Helps to reduce erythema and prevent progression of skin damage3
DERMAPAD™ helps to avoid high pressure points which could cause oxygen starvation and damage to the capillaries

4. DERMAPAD™ as part of a care plan
When to use DERMAPAD
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 damage5
Stage 1 pressure injuries to prevent deterioration and aid tissue recovery6
Recently healed pressure injuries to help prevent re-injury7
Under devices to prevent skin damage

5. DERMAPAD™ as part of a care plan
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. Resembling uninjured skin within one week
Aged care facility
DERMAPAD™ clinical
Sylvie Hampton, Wound Healing Centre, Eastbourne UK
An evaluation of DERMAPAD Heel Pad6
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

7. DERMAPAD™ clinical Sylvia Leonard, Luton & Dunstable Hospital UK
An evaluation of shaped dermal pad in an acute care hospital5
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
Pressure injury incidence
Severity of pressure damage
Number of pressure injuries
Percentage

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. DERMAPAD™ Heel Heel Long section across the foot for seated patients
Standard
Large
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
Long section across the foot
Long section across the heel

10. DERMAPAD™ Heel fixation
Keep in place with a tubular bandage (e.g. TENSOGRIP®)
Heel
Up to knee
Up to knee
Down to toes
Down to toes
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
Note: the tubular bandage should be applied from the toes up to the knee to avoid swelling

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

12. DERMAPAD™ Sacrum/Ankle Wrap fixation
Keep in place with body weight (do not use when mobile)
Sacrum
/Ankle
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

13. DERMAPAD™ Sheet Sheet Under the foot or head whilst resting
10 x 10 x 0.3cm 20 x 20 x 0.3cm
10 x 10 x 1.2cm 20 x 20 x 1.2cm
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

14. DERMAPAD™ Sheet fixation
Keep in place with body weight
Sheet
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

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

16. DERMAPAD™ Strip fixation
Keep in place with OPSITE™ Flexifix Gentle silicone tape (or with whatever is causing the pressure)
Strip
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 )

17. DERMAPAD™ instructions for use
Indication:
Protection against potential skin breakdown for patients at risk of pressure damage
Directions
Select the appropriate size and shape from the range
Remove the product from the plastic container
Apply directly to the affected or at risk area (either side of the pad)
If necessary the pad may be secured with a suitable fixation device (e.g. OPSITE™ Flexifix Gentle, and TENSOGRIP® or HANDY ® CREPE bandage)
The skin under the pad should be inspected regularly in line with local clinical protocols
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

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

19. DERMAPAD™ other benefits
Reduces the Human cost of Pressure Injuries
Contributes to a reduction of the impact of PI on patients’ quality of life4
Contributes to a reduction in morbidity4
Reduces the Economic cost of Pressure Injuries
Can be washed and reapplied on the same patient3,4
Contributes to a significant decrease of the treatment costs associated with PI4
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 protocols4
Requires minimal training3,4
Simple and intuitive to use3,4
3 years shelf life

20. DERMAPAD™ summary
DERMAPAD is a polymer gel pad that redistributes pressure to relieve critical areas3,4
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

21. DERMAPAD™ ordering information
S&N code
DERMAPAD
Qty/Carton
Cartons per case
Sheet 10 x 10 x 0.3cm 5 12
Sheet 10 x 10 x 1.2cm
Sheet 20 x 20 x 0.3cm 2 10
Sheet 20 x 20 x 1.2cm 6
Heel Standard
Heel Large
Heel Standard Bulk
N/A 30
Sacrum / Ankle wrap 1
Strip 50 x 2.5 x 0.3cm
Strip 30 x 5 x 0.3cm

22. References
Australian Commission on Safety and Quality in Healthcare. National Safety and Quality Health Service Standards, September work/accreditation/nsqhss/ Accessed 6 December 2012.
Australian Wound Management Association. Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury, Accessed 6 September 2012.
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; 2008.
Hampton S, et al. An evaluation of Aderma Heel Pad. Data on file; 2011.
Finn M. Patient Testimonial form; 2010.
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© Smith & Nephew September 2012