Pressure Sores CMS Manual Pub. 100-07
- Pressure sores are persistent problems. Heel pressure sores may be well treated with multi podis type boots.
Note: LEEDer Contracture Management Orthotics are designed to alleviate this type of condition. See below: donut-type cushions are not recommended by the clinicians for heel pressure relief. KYDEX-Multi Podus Boots on the other hand are recommended; HCPCS L4396 4397 1930. See other articles on this site. VA APPROVED
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CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-07 State Operations Provider Certification Centers for Medicare & Medicaid Services (CMS) Transmittal 12 Date: OCTOBER 14, 2005
Because the heels and elbows have relatively little surface area, it is difficult to redistribute pressure on these two surfaces. Therefore, it is important to pay particular attention to reducing the pressure on these areas for the resident at risk in accordance with the resident’s overall goals and condition. Pillows used to support the entire lower leg may effectively raise the heel from contact with the bed, but use of the pillows needs to take into account the resident’s other conditions. The use of donut-type cushions is not recommended by the clinicians.
A resident with severe flexion contractures also may require special attention to effectively reduce pressure on bony prominences or prevent breakdown from skin-to-skin contact. Some products serve mainly to provide comfort and reduce friction and shearing forces, e.g., sheepskin, heel and elbow protectors. Although these products are not effective at redistributing pressure, they (in addition to pillows, foam wedges, or other measures) may be employed to prevent bony prominences from rubbing together.
LEEDer Group Note: RESTing WHFO, Knee & Elbow manufactured with shearling lambswool (aka sheepskin) because of it provides comfort, reduces friction and shearing forces.