Visual Feedback of Continuous Bedside Pressure Mapping to Optimize Effective Patient Repositioning

Scott, Ronald G.; Thurman, Kristen

doi:10.1089/wound.2013.0519

Cited by 29 publications

(19 citation statements)

References 8 publications

(14 reference statements)

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“…Similarly, pressure-distribution matrices over the support surface of the bed allow a comprehensive analysis on patient position, and may reduce the risk of developing pressure ulcers [ 20 ]. Based on acquired data concerning the state of the patient or device, these monitoring proposals can either show the detected state [ 21 ], emit alarms [ 18 ], or act autonomously against detected hazards [ 22 , 23 ]. Patient-motion sensors, in contact with the subject, can perform similar tasks concerning the detection and alert of lack of mobility (Leaf Healthcare Inc. developed one such device), as isolated additions.…”

Section: Resultsmentioning

confidence: 99%

Smart medical beds in patient-care environments of the twenty-first century: a state-of-art survey

Ghersi

Mariño

Miralles

2018

BMC Med Inform Decis Mak

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BackgroundRecent scientific achievements and technological advances have brought forward a massive display of new or updated medical devices, enabled with highly-developed embedded-control functions and interactivity. From the final decade of the twentieth century, medical beds have particularly been affected by this surge, taking on new forms and functions, while accommodating to established properties that have become well-known for these devices. The past fifteen years have also brought forward changes to conceptual frameworks, concerning the product design and manufacturing processes (standards), as well as the patient (perspectives on patient-care environments and accessibility). This work presents a state-of-art survey on electric medical beds, representing what is defined as the time of “smart beds”, as part of an increasingly comprehensive patient-care environment.MethodsA survey and assessment of market trends, research efforts and standards related to smart medical beds was performed, covering a wide range of public records of intellectual property, models and related healthcare solutions, as well as relevant research efforts in the field between 2000 and 2016. Contextual topics, necessary for the understanding of this subject, on novel technologies, disability and the reach of healthcare systems, were also researched and interpreted.ResultsThe new generation of electric medical beds is defined, with the final stage of the proposed timeline for these devices being covered. Functional, aesthetic and interactive features are presented, and the current global market for medical beds and related standards are also assessed. Finally, discussions concerning rising challenges and opportunities for these systems are explored, with the potential for adding further monitoring and assistive implementations into medical devices and environments being highlighted.ConclusionsSmart medical beds are integrated solutions for patient care, assistance and monitoring, based on a comprehensive, multidisciplinary design approach. Research in this field is critical in a context of global ageing, and powered by a surge in opportunities for accessibility solutions. Smart beds, seamlessly integrated into the healthcare system, have a unique opportunity in enabling more efficient efforts for caregivers, and more responsive environments for patients.

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Section: Resultsmentioning

confidence: 99%

Smart medical beds in patient-care environments of the twenty-first century: a state-of-art survey

Ghersi

Mariño

Miralles

2018

BMC Med Inform Decis Mak

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“…Second, most physical therapy is performed with patients maintaining the static supine position for quite a long time, and most of them try to focus on the treatment. Without protective pain sensations, patients may not be conscious of potential tissue damage 24 ) . Our results indicate that subjects could not hold a static supine position for over 15 min, either on the mattress or on the floor.…”

Section: Discussionmentioning

confidence: 99%

Differences in the body pressure-related sensory changes between the floor and mattress in a static supine position for physiotherapy research: a randomized controlled pilot trial

Lee

Kim

et al. 2016

J Phys Ther Sci

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[Purpose] This study was performed to investigate the difference in body pressure–related sensory changes between the floor and mattress in a static supine position for physiotherapy research. [Subjects and Methods] To analyze body pressure, the Body Pressure Measurement System was used. Body pressure sensors were attached to mattresses and the floor beneath the subjects. The level of pain was evaluated using pain score tools before the static supine position was adopted, at 1, 5, 10, and 15 min, and in total for specific body points. [Results] In analysis of digitized images, there was no significant difference observed between floor and mattress body pressure values at the start position. However, the head pressure intensity was significantly higher than that of the other body parts. In analysis of pain scores, all body part pain scores except those for both legs were significantly higher for the floor than for the mattress. Furthermore, the pain scores of the floor group were significantly increased at minute 1 compared with those of the mattress group. [Conclusion] These results suggest that properties that change in a time-dependent manner and postural changes need to be carefully considered when applying physical therapy.

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“…Therefore, pressure measurement sensors and softwares can be used to obtain visual feedback to measure the degree of pressure distribution when sitting on air cushions. [10] The purpose of this study is to investigate the effect of pressure relief training and air-cushion control in a seating posture using a body pressure measurement sensor capable of visually monitoring pressure changes in spinal cord injured patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of seating education and cushion management for adaptive sitting posture in spinal cord injury

Park

Lee

2019

Medicine

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Rationale:Pressure ulcers can frequently occur in spinal cord injured patients living in wheelchairs. Therefore, to manage the cushion in sitting posture is important for preventing ulcers.Patient concerns:The patients visited seating clinic in rehabilitation hospital for uncomfortable sitting posture. The patients were asked for posture control and cushion air management training in a sitting posture to prevent sores.Diagnosis:The diagnosis was spinal cord injury.Interventions:Two patients with spinal cord injury were subjected to posture training while the quantity of air in the cushion was being modulated to minimize gluteal pressure by measuring the pressure in the sitting position in the driver's seat using an X-sensor.Outcomes:In Case 1, as a result of air control, contact area showed 1108.06 cm2, average pressure 45.20 mmHg, contact area increased, and mean pressure decreased. In Case 2, the contact area 974.19 cm2 and the average area 41.00 mmHg were measured by applying the change to the ROHO low-Quardro type, showing a decrease in the average body pressure from the initial stage.Lessons:From the results of this study, it was found that measurement of body pressure and posture training using a sensor that provides visual feedback is effective in preventing pressure ulcer. Therefore, it is necessary to perform routine control of the sitting pressure in the clinic and management training of the air cell cushion.

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Visual Feedback of Continuous Bedside Pressure Mapping to Optimize Effective Patient Repositioning

Cited by 29 publications

References 8 publications

Smart medical beds in patient-care environments of the twenty-first century: a state-of-art survey

Smart medical beds in patient-care environments of the twenty-first century: a state-of-art survey

Differences in the body pressure-related sensory changes between the floor and mattress in a static supine position for physiotherapy research: a randomized controlled pilot trial

Effects of seating education and cushion management for adaptive sitting posture in spinal cord injury

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