Monday, December 5, 2022

Foam Boots For Pressure Ulcers

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How Do I Fit The Heelift Suspension Boot

AQUACEL® Foam Application – Heel Pressure Ulcer
Step 1: Open up the Heelift Suspension Boot. Set the extra pad aside. Keep it available, as you may need it later to further customise the boot.
Step 2: Place the foot inside the boot with the heel positioned above the heel suspension opening. The heel should hang over the bottom elevation pad.
Step 3: Pull the closure straps over the shin towards the D-Rings. Use hook-and-loop closures to secure the straps. Leave flaps slightly open to provide added ventilation.
Step 4: Test for the proper fit. You should be able to fit your fingers between the heel opening and the bed. The boot should not move freely on the leg.

If you require further information on the application and customisation of the Heelift Suspension Boot, click the PDF icon below to view the Application and Fitting Guide.

Application and Fitting Guide

In Hospital Pressure Prevention Products Devices And Aids

There are several in hospital pressure prevention devices and aids, as noted below.

Therapeutic Linens

These textiles and bed linens are FDA cleared and are designed to control friction and shear factors.

Surgical Surfaces which may include Foam, Air or Combination

These surgical surfaces are made for individuals who are at a very high risk of getting pressure ulcers or patients who are undergoing a longer surgical procedure. They assist in redistributing pressure while undergoing a surgical procedure and recovery.

Powered Covers

These are electric powered covers that are placed across standard mattresses to promote microclimate.

Alternative Pressure

Air bladders and individual calls inflate alternatively to redirect pressure. There is still a need for the patient to be repositioned or turned on these mattresses.

Static Flotation

It uses water, air, gel or foam components to shift pressure from areas that are valuable.

Air Fluidized

Filtered air circulation through the silicon covered ceramic beads develops a patient fluid or floating on the surface.

Low Air Loss

They promote microclimate by continuously forcing the circulation of air through a tiny pinhole in the mattress.

How Can I Prevent And Cure Heel Pressure Ulcers

Because of its thin layer of subcutaneous tissue between the skin and bone, the heel is the second most common site for pressure ulcer development . The easiest way to treat heel ulcers is to prevent them, and you can do this simply by elevating the patient’s calf on a pillow, small towel, or folded bath blanket to suspend the heel off the bed. For best results, however, it’s recommended to use a specialised device, such as the Heelift Boot, to elevate the legs, minimise pressure, friction and shear.

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Heel Protectors Pressure Ulcer Foot Drop

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A heel protector is a medical device usually constructed of foam, air-cushioning, gel, or fiber-filling, and is designed to offload pressure from the heel of a non-ambulatory individual to help prevent decubitus ulcers on the boney heel area of the foot. It helps to elevate and cushion the heel while restricting pressure, friction and shear from the surface of a bed or wheelchair.

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Prevalons Unique Dermasuede Interior Gently Grips The Foot

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The Prevalon Heel Protector was specifically designed to address the problem of patient movement and its negative effect on heel offloading. Prevalons unique dermasuede fabric interior gently grips the limb so it remains fully offloaded, even when the patient is moving.

Our specialized fabric and coating creates maximum grip control with the texture of fine velvet. This soft fabric contours to and cradles the leg, calf, ankle and foot to help prevent them from rotating within the boot or sliding out of the bootmaintaining effective heel offloading.

Dermasuede fabric holds the limb securely in place while preserving patient comfort. Its also a breathable material, so the limb remains cool while inside the heel protector.

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Prevalon Heel Protectors Reducing Heel Pressure Ulcer Risk

Multiple guidelines recommend the use of a heel protection device that completely offloads the heel to help prevent the development of heel pressure ulcers. Prevalon® Heel Protectors are the number one brand of heel protection. They offer continuous heel offloading to protect your patients heels.

Choose the optimal heel protector

Experts suggest the optimal heel protector should go beyond offloading the heel. In order to effectively protect the foot and lower limb, a heel protector should prevent foot drop and use an anti-rotation wedge to keep the foot in a neutral position to protect the peroneal nerve. Prevalon® Heel Protectors are available with a contracture strap to help prevent the foot from dropping and an anti-rotation wedge to keep the limb from externally rotating. They also feature a unique dermasuede interior designed to gently grip the limb so it remains fully offloaded, even when the patient moves.

Proven prevention results and cost savings

A study published in JWOCN demonstrated a 100% prevention of both heel pressure ulcers and plantar flexion contracture over a seven month period when using Prevalon® Heel Protectors.

Proven Results: Prevention And Treatment From The #1 Brand Of Heel Protection1

Prevalon brings you more proven clinical studies and financial outcomes than any other brand.Heel Pressure Injury Reduction

  • 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 injuries and plantar flexion contracture over a seven month period when using the heel protector device.3
  • 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

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Can I Customise This Heelift Boot

The suspension boot should be used alongside medical care, but can be customised for a range of conditions or special needs. This includes:

  • Longer Legs: Place the extra pad slightly more outward than the fixed pad.
  • Hip Rotation: Remove the adhesive backing from the spare pad and secure it in a horizontal position to the outer side of the boot under the closure straps.

Customised for hip rotation

  • Foot Drop: Cut the spare pad in half, remove the adhesive backing and secure the spare pad in a vertical position behind the sole of the foot.
  • Malleolar Decubitus: Cut away foam on the fixed pad surrounding the ankle as needed.

Customised for Malleolar Decubitus

  • Achilles Tendon: If redness occurs in this area, cut a âVâ shape out of the fixed pad. If using both pads, customise the upper pad.

Description Of The Technology

AQUACEL® Foam Application – Sacral Pressure Ulcer

2.1 Parafricta Bootees and Undergarments are intended to reduce the potential for both the development and the progression of skin damage caused by friction and shear in people who have, or are at risk of developing, pressure ulcers, and in people with frail skin or those who have medical conditions in which skin frailty is a primary factor. Bootees provide protection for the heel and ankle, and Undergarments provide protection for the sacrum, buttocks and hips. The items are made from proprietary Parafricta fabric which is designed to reduce the shear stress and friction associated with movement. It has a friction coefficient value of 0.2, whereas most textiles typically range from 0.3 to 0.7. Parafricta fabric has no stiction, which is the additional force needed to overcome skin sticking to a surface before sliding. Because of this, it reduces the ‘jerk’ effect on skin when movement occurs. The lower the friction and stiction, the less likely it is that shear forces will develop and break the skin down, thereby reducing the risk of pressure ulcers. This mechanism of action is different from current methods of pressure ulcer management or prevention, which aim to manage or prevent pressure ulcers by reducing or redistributing pressure.

2.4 The sponsor’s claimed patient and healthcare benefits for Parafricta Bootees and Undergarments are as follows:

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Why Is Microclimate Important

In a recent study published in the Journal of Tissue Viability, Amit Gefen PhD. Dept. of Biomedical Engineering wrote, There is increasing evidence that thermodynamic conditions within and around skin tissue strongly influence the susceptibility of skin to SPUs Successful pressure ulcer prevention depends upon a complex balance between two sets of parameters the external loads applied to the skin and soft tissues, and the intrinsic ability of the skin and soft tissues to withstand prolonged or excessive loading. If the intrinsic resilience of the skin and soft tissues deteriorates, pressure damage is more likely to occur. Hence, a full understanding of a patients conditions, and immediate environment, including anything that may cause the patients skin to increase in temperature or moisture should be considered.

What Is A Pressure Ulcer?

A pressure ulcer is an injury to the skin as a result of sustained pressure applied to the skin over time . The pressure results in reduced blood flow and eventually causes skin breakdown and the development of an open wound. If the conditions leading to the sore are not rapidly corrected, the localized skin damage may spread to deeper tissue layers, affecting muscle, tendon, and bone. If not adequately treated, open ulcers can become a source of pain, disability, and infection.

Why is Prevention Important?

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Professional Guidelines And Recommendations

Wound Ostomy and Continence Nurses Society GuidelinesMaintaining alignment may be difficult if the patient moves. In addition, pillows do not prevent plantar flexion contracture or lateral leg and foot rotation.1

AHRQ/AHCPR Supported Clinical Practice GuidelinesIndividuals 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

NPUAP/EPUAP Prevention GuidelinesEnsure that the heels are free of the surface of the bed Heel-protection devices should elevate the heel completely in such a way as to distribute the weight of the leg along the calf without putting pressure on the Achilles tendon.3

Association of Perioperative Registered Nurses Standards Recommended Practices and GuidelinesUse devices that eliminate or redistribute pressure to preventperioperative* heel pressure injuries.4

*Perioperative defined as a pressure-related deep tissue injury under intact skin that presents within the first 5 days following surgical procedures.

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What Is The Heelift Suspension Boot

One of the highest quality products for heel pressure ulcer prevention on the market, the Heelift Suspension Boot eliminates pressure as the heel is floated in protective space. Using the Heelift Suspension Boot together with scheduled turning of the patient and careful monitoring has been clinically proven to help reduce heel pressure prevalence over time.

What Are Pressure Ulcers Or Pressure Sores

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Pressure ulcers or pressure sore are wounds to the skin and inner tissue which come as a result of long term pressure on the skin.

Pressure ulcer oftentimes appears on the skin around the bony parts of the body like the ankles, heels, tailbone, and hips.

Pressure sores can happen within a few hours or days.

They can be treated, but some do not heal completely if the treatment was too late.

Lets did further into the severity of pressure ulcers, as identifying them early is the key to reversal before its too late.

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Are Bedsores A Sign Of Neglect

Yes, bedsores may be a sign of neglect and abuse because they often appear when the patients are being unattended for quite an extended time.

It is possible that some nursing homes and long-term care facilities to be understaffed. Some even may not even have the necessary resources to take good care of their residence and patients.

Moreover, some staffs of nursing homes are not well-educated when it has to do with health care practices, while some do not have adequate training on how to treat or prevent pressure sores. Disabled residents and patients should be monitored frequently so as to prevent pressure sores from rising.

How Comfortable Is This Heelift Boot

The Heelift Suspension Boot is not only efficient in heel pressure ulcer prevention, but exceptionally comfortable for the patient as well. The boot comes with a range of features that ensure maximum comfort and safe use, including:

  • Extended Stitching: Located along the top rim, the added stitching narrows the forefoot and increases support to provide improved protection against foot drop, equines deformity, or heel cord contracture.
  • Rounded Straps: Easy-to-use, soft straps can be adjusted to accommodate the patient’s specific needs.
  • Friction-Free Tricot Backing: Unlike other suspension products, which often have sharp edges on the back that can rub against the patient’s other leg, the Heelift is manufactured with a smooth tricot backing that aids in patient mobility, and helps ensure patient safety.
  • Ventilation Holes: Ventilation holes provide additional air circulation to promote increased patient comfort. Heelift is 40% lighter than pillow-style boots.
  • Tricot Covered Stiffener: Prevents the Heelift from buckling for added patient comfort and safety.
  • Forefoot Support: Spring back technology helps to keep the foot upright.

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Heel Lift Suspension Boot

Heel Lift Suspension Boot to mange pressure care on ankles and heels

Convoluted Code 11022

Smooth Code 11023

This suspension boot can prevent and assist in healing pressure ulcers at the heel. Manufactured from latex free foam and one size fits all.

Heelift Suspension Boot can be used for heel pressure ulcer prevention and treatment. Heelift effectively eliminates pressure from the heel by offloading all pressure from the heel and redistributing the pressure to the calf, preventing the development of heel pressure ulcers. A gentle cradling and cushioning of the lower leg with the heel elevated in protective space reduces the chances for irritation or pressure points.

Forefoot support: Spring back technology helps to keep the foot upright.

Washable/Autoclavable: Heelift can be washed safely in a net or mesh laundry bag and can be autoclaved for sterility.Indications:

Heelift Suspension Boot can play an integral role in heel pressure ulcer prevention regimens for susceptible, high-risk patients as well as for patients already suffering from heel pressure ulcers. Risk factors for the development of heel pressure ulcers include:

  • Age
  • Moisture from perspiration or incontinence
  • Poor nutrition

At Home And Aged Care Pressure Ulcer Prevention Products And Devices

Pressure Ulcer Prevention: A guide for patients and carers

Here are the aids typically used at homes as a long-term pressure ulcer care.

Pressure Relieving Mattresses

These pressure relieving mattresses are used for individuals who are at high risk of getting pressure sores.

Ø There are different types of mattresses such as

Ø gel and water mattresses,

Ø innerspring mattresses,

Tip: Using a wheelchair? Then a Roho Cushion or a Star Cushion is a must.

Heel-Elevating Boots

Heel-elevating boots help to suspend the patients feet in mid-air, as the feet are the areas commonly affected by the pressure ulcers in the elderly.

These heel elevating boots help to redistribute pressure to the lower leg to avoid heel pressure sores. These devices gently cushion and cradle the foot, ankle and lower leg to minimize the risk of pressure points and skin friction.

Tip: Rooke Vascular Boots can help you prevent pressure injuries.

Pressure Offloading

Pressure off-loaders such as Darco Offloading Shoes and Insoles can help you prevent injuries in the feet.

Skincare Products

Many skin care products can be used to help protect and prevent the skin from getting pressure.

I have noted the main types below.

i. Antimicrobial Skin Cleansers

These products help to remove bacteria and combat infections around broken skin. Antimicrobial cleansers destroy such pathogens, which otherwise could reinfect and result in deadly complications of pressure ulcers.

ii. Cleansing Body Lotion
iii. Skin Protectants

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How Does The Heelift Suspension Boot Work

The Heelift Suspension Boot completely eliminates pressure as the heel is floated in protective space. The boot offloads the pressure from the heel and redistributes the pressure to the calf, preventing the development of heel pressure ulcers. A gentle cradling and cushioning of the lower leg with the heel elevated in protective space reduces the chances for irritation or pressure points.

Which Style Is Right For Me

The Heelift Suspension Boot is designed to provide a proper fit, which is why it’s available in three sizes, Petite, Standard and Bariatric, and in two interiors: Smooth and Convoluted.

The Heelift Smooth Suspension Boot has a flat inner lining. This makes it ideal for patients with swollen legs, as it will not create impressions on the leg.

Heelift Smooth Suspension Smooth

The Heelift Convoluted Suspension Boot has an egg-carton-like foam lining. It is cooler to wear.

Heelift Convoluted Suspension Boot

The type you need depends on the user’s specific requirements. You can select the preferred option from the drop-down menu at the top of the page.

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Free Uk & Ireland Delivery

For bulk orders please contact us

This product has now been upgraded to the Heelift Glide and so we are discounting the price until our stocks have been sold.

Heelift Standard Suspension Boot Classic offers the following features:

Extended stitching: Located along the top rim, the added stitching narrows the forefoot and increases support to provide improved protection against foot drop, equines deformity, or heel cord contracture.

Easy-on, easy-off rounded straps and D-ring closures: Padded Velcro® fastening straps are easy for the patient and/or healthcare professional to use and can easily be adjusted to accommodate specific patient needs.

Friction-free tricot backing: Unlike other suspension products, which can have sharp edges on the back that can rub against the patients other leg, Heelift is manufactured with a smooth tricot backing that aids in patient mobility and helps ensure patient safety.

Two types of foam: Heelift Standard is available in Smooth foam or in Convoluted foam. Smooth foam is ideal for patients with edematous legs as it will not create impressions on the leg. Convoluted foam is slightly cooler to wear.

Ventilation holes: Ventilation holes provide additional air circulation to promote increased patient comfort.

Tricot covered stiffener: This feature prevents Heelift from buckling foradded patient comfort and safety.

The Heelift features forefoot support using a spring back technology to keep the foot upright.

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