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Almohadillas en la cama

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Informacion sobre las almohadillas en la cama.

Almohadillas en la cama

El objetivo de la almohadilla es aliviar la presión entre sus huesos y las superficies en donde se sienta o recuesta. Las siguientes instrucciones son sólo pautas, no reglas, a utilizar cuando las almohadillas están en la cama.

Usted debe observar su piel y hacer los ajustes en la almohadillas, según sea necesario, basándose en sus necesidades individuales. Las almohadillas son sólo un aspecto de la prevención y tratamiento de las úlceras por presión. Siempre que utilice un producto nuevo, como almohadillas de espuma o “almohadillas para cuadripléjicos”, una nueva almohada o un nuevo colchón, asegúrese de que reduzca la presión en las áreas óseas de su cuerpo.

Si nota enrojecimiento o irritación de la piel, quite la presión del área y comuníquese inmediatamente con su especialista en el cuidado de heridas o médico de cabecera de atención primaria.

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Revisada: 1/2015

Back or "Supine" Position

Pad #1 Head Place a pillow under the head and upper shoulder for comfort and to keep neck neutral.
Pad #2A Pad#2B Tailbone Place pad 2A above sacrum and pad 2B below sacrum. When pads 2A and 2B are placed correctly, a flat hand can be placed between the body and the bed to ensure that pressure has been relieved. If pressure has not been relieved, an additional pad can be added under 2A and 2B.
Pad #3 Knees If the knees appear to be hyper-extended, pad above the knee space; otherwise no padding is needed. Pad must NOT be placed directly under the knees.
Pad #4 Heels Pad above the heels to prevent pressure.
Pad #5 Feet Pad the feet to provide proper foot position.
Pad #6 Lower Legs Pad between the knees and ankles to prevent pressure at the knees and inside of the ankles.
Pad #7a, 7b, 7c Arms Position pillow to keep chest open and shoulders back as in the diagram below.


Half-Back or "Semi Supine" Position

Pad #1 Head Place a pillow under head and upper shoulder for comfort.
Pad #2 Back Place a pillow behind patient’s back. Do not push pillow up against shoulder blade. Keep shoulder blade in a back position to keep chest open.
Pad #3 Lower Arm Do not pinch the lower arm under the body. Support arm with a pillow. See diagram below.
Pad #4 Upper Arm Keep elbow of upper arm at side. Position the upper arm so the chest is open. Support arm with pillow (per diagram).
Pad #5 Lower Back Turn hips to side and support position with pad to lower back.
Pad #6 Lower Legs Place a pillow lengthwise between the lower legs. The top leg is positioned forward on the pillow. Do not position legs directly on top of each other. May need to bend the knee more to prevent from rolling back.
Pad #7 Ankle Pad above the ankle bone on the bed.

Stomach or "Prone Position

Pad #1 Head Place a pillow under the head for comfort.
Pad #2 Chest This is an optional pad for comfort.
Pad #3A Pad #3B Hip Bones Place pad 3A above hip bones and pad 3B below hip bones. When pads 3A and 3B are properly placed, pressure is relieved: 1) on the hip bones, 2) on the suprapubic catheter, and 3) on penis and scrotum of the male patient. These pads also allow for proper body alignment and ease breathing. NOTE: Pads 3A & 3B are not standard on all patients unless required to promote catheter tube drainage or prevent pressure on male genitalia.
Pad #4 Knee Pad above the knees to maintain the natural curvature of the knees and relieve pressure on the knee bone.
Pad #5 Lower Legs Place pillow(s) crosswise under both lower legs (the shins). This pillow allows: 1) the lower leg and foot to be slightly flexed at the knee, 2) pressure relieved at knee, 3) correct extension of muscles of the thigh, and 4) prevents foot-drop if feet do not extend to the end of the bed.
Pad #6 Between Lower Legs Pad between the knees and ankles to prevent pressure at the knees and the ankles.

Side Position

Pad #1 Head Place a pillow under the head for comfort.
Pad #2 Back Place 2 pillows behind the patient’s back to maintain side position. Top hip will be slightly rolled back to prevent patient from lying directly on the hip and leg bones. A 30 degree side lying position is best.
Pad #3 Waist Place a pillow or pad lengthwise from the armpit to the waist to support body weight and to decrease shoulder pressure.
Pad #4A Pad #4B Hip Place pad 4A above the hip and pad 4B below the hip. When pads 4A and 4B are placed correctly, a flat hand can be placed between the body and the bed to ensure that pressure has been relieved. If pressure has not been relieved, an additional pad can be added under 4A and 4B.
Pad #5 Lower Legs Place a pillow lengthwise between the lower legs. The top leg is positioned forward on the pillow. Do not position legs directly on top of each other. May need to bend the knee more to prevent from rolling back.
Pad #6 Ankle Pad above the ankle.

3/4 Stomach or "3/4 Prone" Padding

Pad #1 head Place a pillow under the head for comfort.
Pad #2 Arm The shoulder should be protracted with the arm forward on a pillow. Bottom shoulder should be pulled backward to decrease pressure on shoulder.
Pad #3 Leg The upper leg is in front of the body on a pillow. Bottom leg/hip needs to be rotated to ensure there is no pressure on the hip or the top of the leg bone.
Pad #4 Ankles Pad above ankle to prevent pressure.

Halo Best / Back or "Supine"

Pad #1 Head A soft pillow or small pad can be placed under the patient’s head. AVOID direct pressure on the halo ring. The halo ring must remain off the mattress. There is to be no firm pressure under the neck area as this may cause hyperextension of the cervical spine.
Pad #2 Below Vest A pad is placed below the back vest hardware to prevent the hardware from puncturing tilt tables, mattresses and linen, and to keep weight off of the halo ring.
Pad #3A Pad #3B Tailbone Place pad 3A above tailbone and pad 3B below tailbone. When pads 3A and 3B are placed correctly, a flat hand can be placed between the body and the bed to ensure that pressure has been relieved. If pressure has not been relieved, an additional pad can be added under 3A and 3B.
Pad #4 Knees If the knees appear to be hyper-extended, pad above the knee space; otherwise no padding is needed. Pad must NOT be placed directly under the knees.
Pad #5 Heels Pad above the heels to prevent pressure.
Pad #6 Feet Pad the feet to provide proper foot position.
Pad #7 Lower Legs Pad between the knees and ankles to prevent pressure at the knees and inside of the ankles.

Halo Vest / Side

Pad #1 Head A soft pillow or small pad can be placed under the patient’s head. AVOID direct pressure on the halo ring and head. The halo ring must remain off the mattress. There is to be no firm pressure under the neck area as this may cause hyperextension of the cervical spine.
Pad #2 Back Place a pillow behind the patient’s back to maintain side position. Top hip will be slightly rolled back to prevent patient from lying directly on the hip. A 30 degree side lying position is best. Avoid direct pressure on shoulder.
Pad #3 Waist A pad is placed lengthwise from the armpit to waist to maintain proper body alignment, for vest support and pressure equalization and to prevent undue pain and pressure on the shoulder.
Pad #4 Hip Place pad 4A above the hip and pad 4B below the hip. When pads 4A and 4B are placed correctly, a flat hand can be slid between the body and the bed to ensure that pressure has been relieved. If pressure has not been relieved, an additional pad can be added under 4A and 4B.
Pad #5 Lower Legs Place a pillow lengthwise between the lower legs. The top leg is positioned forward on the pillow. Do not position legs directly on top of each other.
Pad #6 Ankle Pad above the ankle.

This resource provided as a courtesy of Craig Hospital. For more information, contact the Craig Hospital Nurse Advice Line at 1-800-247-0257.

Disclaimer: The content in this document is intended for general informational purposes only and is not a substitute for professional medical advice or treatment for specific medical conditions. No professional relationship is implied or otherwise established by reading this document. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Many of the resources references are not affiliated with Craig Hospital. Craig Hospital assumes no liability for any third party material or for any action or inaction taken as a result of any content or any suggestions made in this document and should not be relied upon without independent investigation. The information on this page is a public service provided by Craig Hospital and in no way represents a recommendation or endorsement by Craig Hospital.

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