Effects of absorbent incontinence pads on pressure management mattresses

Abstract

Absorbent pads have a substantial adverse effect on the pressure redistribution properties of mattresses. Pad folds appear to contribute to this effect, which can be ameliorated slightly by smoothing. Absorbent pad manufacturers should consider engineering pads that minimize disruption to pressure management. Further examination of continence and pressure management products is necessary to establish optimum combinations for nursing care.

Continence products: Research priorities to improve the lives of people with urinary and/or fecal leakage

“…For example, in recent years some progress has been made on understanding the formation of biofilms on different catheter materials under different conditions such as the pH and microbial content of the urine, 5,6 and the interactions between pad materials and skin. 7,8 However, there is still some way to go: current catheters commonly block and pads frequently cause skin damage.…”

Exploring the relationship between skin property and absorbent pad environment

“…Fader et al. (2004) reported that the presence of an incontinence pad between the patient and his or her support surface rose the peak pressure by around 20–25%.…”

Manage incontinence-associated dermatitis effectively using optimal prevention and treatment regimens

“…[18,19] The use of an adult containment brief for 24 hours is not recommended owing to the increased amount of time the skin is contained within an occlusive device, while the folds in adult containment briefs have been shown to increase tissue interface pressure. Observationally, introduction of these devices has been associated with a low risk of incontinence-associated dermatitis [19] and a reduced incidence of partial-thickness pressure ulcers. When the patient is ambulatory or being transported for diagnostic testing or therapy, an adult containment brief provides an effective option.…”