Articles
Softform Premier Active 2
  • A retrospective analysis of the use of the Softform® Premier Active 2 in an NHS Trust

    An online survey was undertaken to determine the selection, application and effectiveness of the Softform Premier Active 2 mattress and a retrospective evaluation of its use over a 12 month period was carried out based on the equipment selection algorithm within an NHS Trust. The objective of this research was to review the effectiveness of the implementation of the Softform Premier Active 2 mattress for patients with grade III and IV pressure ulcers


  • A clinical audit of the Softform Premier Active mattress in two acute care of the elderly wards

    This article reports on the findings of a study which was carried out to compare the effect of the Softform Premier Active mattress™ (a foam mattress with a dynamic, alternating underlay), versus a standard air mattress on pressure ulcer incidence in two acute, care of the elderly wards over a six-month period. The results revealed a pressure ulcer incidence of 8% in both groups, which was considered to be unexpectedly low in such a vulnerable, high risk population. It was concluded that the Softform Premier Active was as effective as the standard air mattress in pressure ulcer prevention, but had the advantages of dual functionality and lower cost.


  • Achieving effective outcomes: monitoring the effectiveness of the Softform Premier Active mattress

    The identification of pressure-relieving mattresses to achieve positive clinical outcomes for patients and financial considerations for organizations is a challenge for health-care staff. This article reports on an audit undertaken within a primary care trust to determine the clinical and cost effectiveness of the Softform Premier Active mattress. Preliminary results have been previously published (Stephen-Haynes, 2008) and are presented here in full.


  • Softform Premier Active Mattress: a novel step-up/step-down approach

    In the UK it is estimated that as many as 412 000 patients who are already ill will develop pressure ulcers (Bennett et al, 2004), which are an unnecessary and expensive complication to treat (Hitch, 1995). One way to try and reduce these risks is by investing in suitable mattresses. The author's investigations into existing mattress stock in the years 1996-97 illustrated the inadequacy of the NHS standard mattress (Santy, 1995; Fox, 1997). Investigators (e.g. Rithalia, 1996) were recognizing the inadequacy of the pink marble standard NHS foam mattress for pressure reduction (Medical Device Directorate, 1993; Dunford, 1994) which included reports necessary to help develop guidelines in pressure ulcer prevention and management (Coull, 2004), as well as make value-for-money recommendations about product purchases (Fletcher et al, 1994; Value For Money Update, 1994; Cullum et al, 1995).


Softform Premier
  • Pressure area management: a static-led approach

    An increase in expenditure and inappropriate use of pressure-relieving equipment, along with high-prevalence figures, initiated the evaluation of current practice of pressure damage prevention in the acute general hospital. This evaluation started with the organization of a project group, who (after a baseline clinical audit) identified and procured the resources required to introduce and manage an effective pressure damage prevention programme. The investment in high-quality static mattresses for all patients including those who are at high risk of developing pressure damage was based on available clinical evidence. This investment meant a reduction in the amount of dynamic systems needed as many of those patients are at high risk of pressure damage, and are now successfully managed on a static system. The development of a local policy including documentation facilitated regular reassessment of risk based on a risk assessment tool and clinical rationale. This static-led approach has reduced not only costs but also improved the appropriate allocation of pressure-relieving/ reducing equipment. The approach has also simplified the choice of equipment for staff who were previously expected to match patients' need with varying levels of dynamic mattress efficiency. This article highlights the action taken from the initial identification of a specific need though to the effective implementation, management and monitoring of this innovative practice.


  • A static-led approach to pressure ulcers: an evaluation after 3 years

    Pressure damage has high cost implications to the patient and care providers. The choice of appropriate equipment to help in the prevention of tissue damage is hampered by extensive choce and little guidance on the most effective product to use. This static-led approach was introduced into Camarthenshire NHS Trust 3 years ago. This approach simplified the choice of equipment, improving the appropriate usage and reducing expenditure. This article aims to evaluate the approach 3 years after its introduction to determine if the benefits to the patient and the organization still apply.


  • The role of education, technique and equipment in pressure area care

    This paper aims to reflect on the successful management of pressure ulcer equipment within a district general hospital. Insight is given into what is considered as effective, efficient and economic use of static and dynamic mattress, underpinning by a fundamental education package into pressure ulcer management and prevention techniques.


Strikethrough Resistant Technology
  • Pressure Ulcer Prevention with Strikethough Resistant Technology

    The prevention and management of pressure ulcers — a significant cause of morbidity and mortality and a major drain on healthcare resources — has been at the core of tissue viability nurses’ daily clinical and strategic workload for decades. Today, the occurrence of pressure ulceration is used to assess the quality of care delivered by a healthcare system or facility, and the effectiveness of the preventative measures taken. Raised awareness of the costs of avoidable pressure ulceration has resulted in a political drive to reduce their incidence, and encouraged clinicians to assess and prevent pressure ulcer occurrence, when possible. In response to this demand, Invacare and Dartex Coatings developed a mattress fabric which utilises unique Strikethrough Resistant Technology® (SRT). SRT is used on the Softform® Premier and Softform® Premier Active 2 mattresses, and effectively addresses infection control, pressure care prevention, safety and cost effectiveness concerns.


  • Clinical Product Evaluation Wounds UK Sept 2015

    NHS Greater Glasgow and Clyde has beenworking in conjunction with Invacare in trialling the new cover material. Since January of 2012, 200 of Invacare’s SRT (Dartex Endurance) mattress covers, have been in constant, heavy use in acute wards and clinical areas throughout the health board. Across the seven wards, no mattresses covered with the SRT material were condemned due to the original problem of strikethrough (0% failure rate), see Table 1. This confirms and reinforces the findings of the 6-month study (Stevens, 2013). The SRT-covered Crib 5 mattress had an average annual failure rate of 1.9% due to product damage and the SRT-covered Crib 7 mattress had an even lower rate of replacement, at 0.7% per year. These replacement rates compare favorably to the national average annual mattress failure rate of 27% (Stephens, 2013).


Others
  • NICE Guidelines

    This quick reference guide was developed by the National Pressure Ulcer Advisory Panel, the European Pressure Ulcer Advisory Panel and the Pan Pacific Pressure Injury Alliance. It presents a comprehensive review and appraisal of the best available evidence at the time of literature search related to the assessment, diagnosis, prevention and treatment of pressure ulcers. This Quick Reference Guide is intended for busy health professionals who require a quick reference in caring for individuals in the clinical setting.



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