Bariatric. Care Solutions

Transcription

1 Bariatric Care Solutions

2 The Obesity Challenge Obesity is now recognised as a global epidemic. Obesity rates in the UK and Eire are among the highest in Europe and have increased dramatically over the last few years to such an extent that around 25% of adults are now classed as obese. Key Fact In the UK, 3.6% of women and 1.8% of men are classed as severely obese 1. Obesity increases the risk of a number of health issues including heart disease, diabetes, musculoskeletal disorders, cancers, depression and anxiety. Severely obese individuals are three times more likely to require social care than those with normal weight, resulting in an increased risk of hospitalisation and associated health and social care costs and nursing risks. Bariatric patients have a number of unique challenges including: Difficulty mobilising Increased body weight and body mass inhibits the ability to move and flex. May drag their heels and sacrum when getting in and out of bed increasing the risk of shear and friction. Entering or exiting the bed safely may be very challenging and increases the risk of falls. Impaired respiration Respiration may be compromised due to impaired diaphragmatic movement and subsequent impaired tissue perfusion. Positioning at an elevated head of bed angle is vital due to respiratory challenges. Increased risk of pressure damage A lack of mobility, difficulty in repositioning, increased skin to skin contact and increased sweating all increase the risk of pressure damage. Increased body weight may make it more difficult for the caregiver to view bony prominences. This may allow pressure ulcers to develop in areas that are not considered high risk such as hips, trunk, torso, occiput. Areas under skin flaps may be missed when washing. Individuals may be at risk of developing skin damage from equipment e.g. from bed rails if they are placed on a bed that is too narrow. Compromised healing Wound healing is slow due to a decrease in wound collagen deposition. Blood supply to fatty tissues may not be adequate to provide appropriate oxygen and nutrition. Bariatric patients generally have poor diets with fatty foods which exclude essential vitamins and nutrition to aid wound healing. Sweating/moisture build-up People who carry more weight are prone to profuse sweating, often suffering skin breakdown, rashes and intertrigo (inflammation that occurs on skin folds).

3 Caring for Bariatric Patients Medstrom understand that caring for bariatric patients can create many challenges for both patients and care staff especially if they are on equipment that is not suitable to meet their needs, or if equipment is unavailable. These patients can often have a body shape that can make the simplest of nursing procedures more difficult to perform. This is true for tasks like mobilising, repositioning, turning, basic hygiene and wound care. Being admitted to hospital is a stressful time for all patients. However, bariatric patients can often be left waiting for longer periods of time after admission whilst suitable equipment is sourced, greatly adding to the stress and anxiety of the patient. Medstrom s commitment to help provide safer care Medstrom is committed to helping caregivers and patients handle these challenges. We provide specialist products and an outstanding service to enable safe and dignified care to be provided for your bariatric patients, whilst keeping your caregivers safe and helping budgets to be more effectively managed. Medstrom s philosophy is to deliver a unique and bespoke service, full of flexibility and innovation and tailored to the needs of our customers. Our strategic partnerships with world-class manufacturers enable us to help hospital and community clients meet and beat the challenges they face. We work with key clinical personnel to understand the clinical needs and risks and select products that bring innovation, fill niche gaps and offer the best in care. Medstrom have a full range of bariatric equipment with a clear focus on patient dignity, safety of the patient and their caregivers, pressure ulcer prevention, safe mobilisation and providing a responsive service. Specialist equipment rental the flexible, cost-effective option Our rental service provides numerous benefits including: Fast response and delivery. We re available 24/7/365 to take your order or offer support. We offer a choice of specialist electric profiling beds and mattresses. 24-hour clinical support is available from our national team of Clinical Nurse Advisors. Installation and ward staff product training is supplied by Medstrom technicians who are City & Guilds qualified and DBS checked. On-going training is supplied by our Clinical Nurse Advisors post-patient placement and throughout the product s use to ensure desired clinical outcomes are being achieved. We offer a range of flexible financing options from daily rental to long term fixed period rental. Key Fact Severely obese individuals are three times more likely to require social care than those with normal weight. Call us today (UK) (Ireland)

4 Specialist Bariatric Profiling Bed Frames Bari 10A Four Section Electric Profiling Bed Frame The Bari 10A offers a host of benefits to facilitate safer, easier, more clinically effective care and ensures safe and effortless mobilisation of the patient in bed with the touch of a button. This allows positioning from supine to sitting - achievable with only one nurse, reducing the risk of injury. The stable frame supports up to 474kg/75 stone and allows an easy one-touch full chair position to improve patient wellbeing, posture and lung capacity. Functionality such as electric high-low and electric Trendelenburg facility ensures patients can be moved from the platform easily and safely without the risk of injury. The split side rail design offers a strong positioning aid and can be used to help independent repositioning in the bed as well as help with mobilisation from the bed to a standing position. The electric high-low can also be used to get the patient into a standing position, once their feet are on the floor. The electric high facility will help to achieve a safe standing position, often without the need for nursing intervention. This bed has an easy to extend sleep deck offering up to 4 (1.22m) width for safe manual handling. The unique way the platform extends in width ensures maximum space but also allows the nurse to push in small sections allowing access to the patient with no stretch or strain on the nurse s back. Width and length extension is easy and can be carried out safely with the patient in situ, increasing space during nursing care, sleep or rest. This also provides the flexibility of reducing width easily should the patient be moved around the hospital and in and out of lifts. When nursing bariatric patients often one of the biggest challenges is having space on the platform to safely move them for basic nursing procedures. More width on the surface therefore has many benefits; not least it offers the nurse more space to move a patient safely. Simple nursing procedures become more achievable without the risk of caregiver injury and without patient anxiety. The Bari 10A has an innovative platform that can extend from 3 to 4 (0.9m to 1.22m) wide and from (2.03m to 2.23m) in length offering a comfortable and safe platform for all patients. Technical Specification: Mattress support platform width, adj cm (3 4 ) Mattress support platform length, adj cm ( ) Overall bed width cm (39 52 ) Overall bed length cm (90 98 ) Under bed clearance 14cm (5½ ) Maximum back angle to horizontal 65 Maximum knee angle to horizontal 35 Safe working load 475kg /75 stone

5 Pressure Redistributing Support Surfaces Arise 1000 Low Air Loss Support Surface The Arise 1000 is a fully integrated therapy system that combines pressure redistribution with low air loss in a sleep surface that expands easily in width and length offering more space for patient care, also ensuring the lowest possible pressures at all times. Bariatric patients respond favourably to being nursed on a low air loss surface as the air flow helps to reduce a build-up of sweat and therefore maceration and can assist to maintain drier skin. The Arise 1000 mattress replacement system is suitable for both the treatment of existing pressure ulcers Category I-IV as well as for patients who have been assessed to be at risk from the complications of immobility. The Arise 1000 allows facilities to provide relief and manage high costs associated with clinical treatment and recovery time. Features Include: Expands in width to 4 (1.22m) wide thus ensuring maximum space to ensure safe mobility within the bed space. This also makes the Arise 1000 a perfect complement to the Bari 10A. Pulsate feature offers a restful massage with the inflation and deflation of cell pressure. Autofirm offers a firmer surface to ensure safe manual handling and moving on the surface. Quick deflate for CPR and mobilisation from the bed. Care rail air surround ensures safety, security and protection for the patients whilst on the bed platform. Technical Specification: Mattress Dimensions 122cm (48 ) W x 203cm (80 ) L x 22cm (8.5 ) H Max patient weight 455kg/72 stone Indications: Key Fact Caring for patients with complicated pressure ulcers or multiple wounds can be costly. If not treated appropriately, the conditions can result in the need for surgery or progress to be more severe and even life threatening. Call us today (UK) (Ireland)

6 TurnCair 1000 Low Air Loss Support Surface with Assisted Turn Facility TurnCair 1000 is a low air loss therapeutic surface that incorporates an assisted turn facility, providing a range of turn time and angle settings to help caregivers turn a patient from side to side with no manual intervention. ¼, ½, ¾ and full turn 10, 20, 30 and 60-minute turn cycles Left, right and both side turn options Turn hold function This facilitates easy manual handling by caregivers for personal care and position changes, easy changing of linens, inserting slide sheets and positional changes that can be carried out with one nurse. The autofirm feature also assists patients and caregivers during patient transfer and treatment. The TurnCair1000 mattress replacement system is suitable for both the treatment of existing pressure ulcers Category I-IV as well as for patients who have been assessed to be at risk from the complications of immobility. Technical Specification: Mattress dimensions 122cm (48 ) W x 203cm (80 ) L x 25cm (10 ) H Max patient weight 455kg/72 stone Continuous Lateral Rotation Therapy: This offers benefits for patients who are immobile and at an increased risk of associated respiratory complications. The gentle timed rotational cycle is easily tolerated and will mobilise secretions preventing them from pooling and becoming a focus for infection. In patients with existing respiratory conditions the rotational cycle will help to promote pulmonary drainage, and help to improve outcomes. This treatment is also appropriate for those who need mechanical ventilation and will play a part in the prevention of ventilator-associated pneumonia. Rotation can be achieved both in the supine position and the semi-recumbent position ensuring comfort at all times, even during treatment. Rental Options: The Bari10A is available to rent with the Arise 1000, TurnCair 1000 surface or the Protecta high specification foam mattress.

7 MMO 8000 Electric Profiling Ultra-Low Bed Gait disturbances and immobility issues in obese patients place these patients at an increased risk of falls. In cases where the patient is able to mobilise from the bed, an ultra-low bed with the ability to set a custom-height position can provide an effective part of a falls prevention solution. MMO s focus is to develop beds with a platform that will lower to an ultra-low height from the floor, a feature that offers several benefits to the patient and caregiver. Patients who are restless, confused and vulnerable whilst in the bed and are at risk of falling out the bed can be nursed at an ultra-low height, thus ensuring that injury is minimised. A custom height setting can be programmed for the safe mobilisation of every patient. Ultra-low sleep deck height of just 21cm minimises risk of injury from falls from the bed. Safe Stop backrest feature pauses at 30 and 45, eliminating guesswork. The electric backrest lengthens as it articulates, preventing the patient from sliding down the bed. This maintains position, enhances comfort and will reduce the risk of tissue damage from shear forces. Full cardiac chair position can be achieved using just one button. This position has benefits for well-being and patient psychology and can assist earlier mobilisation. Trendelenburg and reverse Trendelenburg have an automatic back to flat feature that removes guesswork, the need for angle indicators and unnecessary bending for caregivers. Available in three widths, 110cm, 120cm and 130cm. Our rental fleet is 120cm wide. Technical Specification: Minimum height: 21cm Maximum height: 83cm Total length and width: 214cm x 110/120/130cm* Dimension of sleep deck: 200cm x 100/110/120cm Electric, shear reducing back angle adj: to 70 Knee angle adj: to 30 Manual calf section angle adj: 20 Electric Trend/Reverse Trend: 14 CPR: Electric, manual with dampened action Bed length extension: 18cm Max patient weight: 250kg/39stone Safe working load: 340kg/53stone Warranty: 5 years on electrical components, 10 years on all other parts including frame Rental Options: *The MMO 8000 is available to rent with the Protecta high specification foam mattress (120cm wide bed frame only). Key Fact 22% of patients who fall in hospital do so from their bed 2. Call us today (UK) (Ireland)

8 Additional, complementary products Caring for bariatric patients can present clinical staff with many challenges especially ensuring basic activities of daily living and dignity are maintained. As such Medstrom have launched a range of complementary products available to help nursing staff preserve dignity during simple nursing procedures. Arise Bariatric Riser Recliner The Arise acute riser recliner assists patient comfort and supports mobilisation. It is specially designed for use in an acute environment, with easy to wipe vinyl material and no stitching, which promotes infection prevention. The recline function assists in pressure redistribution and promotes comfort. The rise function assists the patient to stand up or sit down safely and easily. The four sturdy castors make the Arise chair very easy to manoeuvre. Removable seat cover helps to assist product longevity. Bariatric Gown and Sheet Understanding that this can be one of the most undignified times for patients, Medstrom have available for purchase sheets that fit our beds and patient gowns designed to more appropriately fit the bariatric patient. Technical Specification: Powered options: Recline, leg lift, seat rise Upholstery seat: Multi-stretch, moisture-vapour permeable fabric to aid comfort and pressure redistribution Upholstery other: Vinyl Back: Waterfall Seat depth: 53cm / 21 Overall depth: 109cm / 43 Seat width: 84cm / 33 Overall width: 135cm / 52 Seat height: 48cm / 19 Arms: Square Arm height: 19cm / 7½ Back height: 71cm / 28 Clearance for hoists: 50mm / 2 Safe working load: 317kg / 50 stone Safe working load legs: 140kg / 22 stone Controls: Right hand Castors: 4 lockable, 125mm diameter Available to rent as a package with bed frame & mattress or on its own.

9 Chair An extra wide bariatric chair with a pressure redistributing seat to ensure patient safety and comfort when they are using the seat. The arms are adjustable in height for patient comfort. Seat width: 71cm (28 ) Seat depth: 80cm (31½ ) Seat height: 110cm (43½ ) Maximum patient weight: 318kg/50st Commode A commode on wheels with a seat width of 65cm (26inches) with a maximum load of 400kg (62stone). The commode has a seat width of 65cm (26inches) with adjustable armrests for patient comfort. The commode is constructed from steel, it has a washable upholstered seat with opening, the commode pan is easily slid in and out from the back. Seat width: 65cm (25½ ) Seat height: 50cm (20 ) Seat depth: 55cm (21½ ) Maximum patient weight: 395kg/62st Walker A walker with seat and adjustable handles to ensure correct height for each patient. The seat has a maximum load of 400kg enabling patients to take regular rest breaks if they need to during mobilisation. Seat width: 70cm (27½ ) Seat depth: 40cm (15¾ ) Seat height: 60cm (23½ ) Maximum patient weight: 395kg/62st Available to rent as a package with bed frame & mattress. Call us today (UK) (Ireland)

10 Patient Transport & Transfer Solution TS5000 Bed Mover and Transport System The Medstrom bed mover and transport system is compatible with most beds, bariatric beds, stretchers and other movable equipment the compatibility is unquestionable without the need to change attachments and therefore without the risk of losing valuable parts. This simple compact design allows easy connection to any bed or trolley the claw design adapts easily to different castor sizes and expands easily from 550cm to 840cm capturing the product by the castors. Once attached the dual drive system allows the porter to drive equipment up to 600kg in weight with one thumb. The Medstrom bed mover and transport system does more than protect workers from injury. It makes their work easier, less tiring and more enjoyable. The unit is compact, quiet and efficient. With the end-user s needs paramount to the design process, it has outstanding manoeuvrability and allows hands-free and bend free bed connection. With the touch of a finger it can turn a 360-degree corner with ease and can deal with slopes, uneven terrain and tight corners with no limitations. The ergonomic engineering of the Medstrom bed mover enables single-person operation, without any strain on the user s back muscles. It helps to prevent workplace injury and subsequently reduces workers compensation claims and sickness costs. The TS5000 is available for capital purchase, with flexible financing options available. Please ask us for details. References 1. Public Health England 2. National Patient Safety Agency. Using bedrails safely and effectively. London: NPSA, 2007

11 Key Fact Each year, over 80,000 healthcare professionals injure their backs at work and 3,600 are forced to retire early. Call us today (UK) (Ireland)

12 004413_Bariatric Rental Brochure_Version 1_May 2016 Ireland Tel: UK Tel: Cygnus Court, Beverley Road, Pegasus Business Park, Castle Donington, DE74 2SA ISO 9001:2008 International Registered Firm Accreditation Board Certificate No. GB Registration No. 0044/1