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Measures to reduce intracranial pressure, such as lowering the feet of the bed while keeping it flat, are also sometimes used. [7] If a longboard is used, cushioning it is useful to decrease discomfort due to pressure. [13] A vacuum mattress and scoop board typically results in lower pressures. [13]
moulding of the vacuum mattress. There are three ways to put the casualty on the vacuum mattress: lifting the casualty and pushing the stretcher under it. This method requires a minimum of five team members (four lifting and one pushing the stretcher) and should be used when a spine or a pelvis trauma are suspected;
Pressure ulcers can trigger other ailments, cause considerable suffering, and can be expensive to treat. Some complications include autonomic dysreflexia, bladder distension, bone infection, pyarthrosis, sepsis, amyloidosis, anemia, urethral fistula, gangrene and very rarely malignant transformation (Marjolin's ulcer – secondary carcinomas in chronic wounds).
Some innerspring mattresses have memory foam in their upholstery layer. Different feels and comfort levels are achieved by varying the thickness, weight and formulation of the viscoelastic foams and the base foams. Latex and memory foam mattresses each provide a unique feel. This type of mattress is good at relieving pressure on painful joints.
The vacuum mattress may reduce sacral pressures compared to backboards. [15] The conforming nature of the vacuum mattress means that people can be kept immobilized on it for longer periods of time and the immobilisation offers superior stability and comfort. [16] The Kendrick extrication device is another alternative. [17]
Under Medicare guidelines, hospice patients require a terminal diagnosis or markers of a life-threatening condition — such as severe weight loss or loss of mobility — indicating the person will likely die within six months or sooner. Maples did not have a terminal illness. Her diagnosis was “debility, unspecified,” according to her records.
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