bariatric - medstrom healthcare...obesity increases the risk of a number of health issues including...

BariatricCare Solutions

Key FactIn the UK, 3.6% of women and 1.8% of men are classed as severely obese1.

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.

Bariatric patients have a number of unique challenges including:

Difficulty mobilising

• Increased body weight and body mass inhibits theabilitytomoveandflex.

• 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

• Alackofmobility,difficultyinrepositioning, increased skin to skin contact and increased sweating all increase the risk of pressure damage.

• Increased body weight may make it more difficultforthecaregivertoviewbony prominences. This may allow pressure ulcers to develop in areas that are not considered high risk such as hips, trunk, torso, occiput.

• Areasunderskinflapsmaybemissed 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 (inflammationthatoccursonskinfolds).

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.

Key FactSeverely obese individuals are three times more likely to require social care than those with normal weight.

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 moredifficulttoperform.Thisistruefortaskslikemobilising, 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 toenablesafeanddignifiedcaretobeprovidedfor 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 bespokeservice,fullofflexibilityandinnovationandtailored 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, fillnichegapsandofferthebestincare.

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.

• Weofferachoiceofspecialistelectricprofiling 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&GuildsqualifiedandDBSchecked.

• 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.

• Weofferarangeofflexiblefinancingoptions fromdailyrentaltolongtermfixedperiodrental.

Call us today 0845 371 1717 (UK) | 01 686 9487 (Ireland)

Specialist Bariatric Profiling Bed Frames

Bari 10A Four Section Electric Profiling Bed Frame

TheBari10Aoffersahostofbenefitstofacilitatesafer, 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 onthefloor.Theelectrichighfacilitywillhelptoachieve a safe standing position, often without the need for nursing intervention.

This bed has an easy to extend sleep deck offering upto4’(1.22m)widthforsafemanualhandling.

Technical Specification:

• Mattress support platform width, adj91–122cm(3’–4’)

• Mattress support platform length, adj203–223cm(6’7”–7’3”)

• Overallbedwidth99–132cm(39”–52”)

• Overallbedlength229–249cm(90”–98”)

• Underbedclearance14cm(5½”)

• Maximum back angle to horizontal 65°

• Maximum knee angle to horizontal 35°

• Safe working load 475kg /75 stone

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 providestheflexibilityofreducingwidtheasilyshould 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;notleastitoffersthenursemorespaceto 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 extendfrom3’to4’(0.9mto1.22m)wideandfrom6’7”–7’3”(2.03mto2.23m)inlengthofferinga comfortable and safe platform for all patients.

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 nursedonalowairlosssurfaceastheairflowhelps 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.


• MattressDimensions122cm(48”)Wx203cm (80”)Lx22cm(8.5”)H

• Max patient weight 455kg/72 stone

Indications:

Features Include:

• Expandsinwidthto4’(1.22m)widethus 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 theinflationanddeflationofcellpressure.

• Autofirmoffersafirmersurfacetoensuresafe manual handling and moving on the surface.

• QuickdeflateforCPRandmobilisationfrom the bed.

• Care rail air surround ensures safety, security and protection for the patients whilst on the bed platform.

Key FactCaring 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.


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,rightandbothsideturnoptions

• 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.Theautofirmfeaturealsoassistspatientsandcaregivers during patient transfer and treatment.

Continuous Lateral Rotation Therapy:

Thisoffersbenefitsforpatientswhoareimmobileand 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 canbe achieved both in the supine position and the semi-recumbent position ensuring comfort at all times, even during 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 atrisk from the complications of immobility.


•Mattressdimensions122cm(48”)W x203cm(80”)Lx25cm(10”)H

• Max patient weight 455kg/72 stone

Rental Options:

The Bari10A is available to rent with the Arise 1000, TurnCair 1000 surface or the Protecta highspecificationfoammattress.

MMO 8000 Electric ProfilingUltra-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 thatwilllowertoanultra-lowheightfromthefloor,afeaturethatoffersseveralbenefitstothepatientand 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 justonebutton.Thispositionhasbenefitsfor well-being and patient psychology and can assist earlier mobilisation.

• Trendelenburg and reverse Trendelenburg have anautomatic‘backtoflat’featurethatremoves guesswork, the need for angle indicators and unnecessary bending for caregivers.

• Available in three widths, 110cm, 120cm and130cm.Ourrentalfleetis120cmwide.


Minimum height: 21cm

Maximum height: 83cm

Total length and width: 214cm x 110/120/130cm*

Dimensionofsleepdeck:200cmx100/110/120cm

Electric,shear‐reducingbackangleadj:to70°

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: 272kg/43 stone

Safe working load: 350kg/55 stone

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 Protectahighspecificationfoammattress (120cmwidebedframeonly).

Key Fact22% of patients who fall in hospital do so from their bed2.


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 undignifiedtimesforpatients,Medstromhaveavailableforpurchasesheetsthatfitourbedsand patient gowns designed to more appropriately fitthebariatricpatient.


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.

Castors: 4 lockable, 125mm diameter

Available to rent as a package with bed frame & mattress or on its own.

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.

Seatwidth:71cm(28”)

Seatdepth:80cm(31½“)

Seatheight:110cm(43½”)

Maximum patient weight: 318kg/50st

Commode

A commode on wheels with a seat width of 65cm(26inches)withamaximumloadof400kg(62stone).Thecommodehasaseatwidthof65cm(26inches)withadjustablearmrestsforpatient 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.

Seatwidth:65cm(25½”)

Seatheight:50cm(20”)

Seatdepth:55cm(21½“)


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.

Seatwidth:70cm(27½”)

Seatdepth:40cm(15¾”)

Seatheight:60cm(23½”)


Available to rent as a package with bed frame & mattress.


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. Theunitiscompact,quietandefficient.Withtheend-user’s needs paramount to the design process, it has outstanding manoeuvrability and allows hands-free and bend free bed connection.

Withthetouchofafingeritcanturna360-degreecorner 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 flexiblefinancingoptionsavailable.Pleaseaskusfor details.

References

1. Public Health England

2. National Patient Safety Agency. Using bedrails safelyandeffectively.London:NPSA,2007

Key FactEach year, over 80,000 healthcare professionals injure their backs at work and 3,600 are forced to retire early.


IrelandTel: 01 686 9487Email: [email protected]

UK Tel: 0845 371 1717Email: [email protected]

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bariatric - medstrom healthcare...obesity increases the risk of a number of health issues including...

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