A method for determining the heat transfer and water vapour permeability of patient support systems.

The formation of pressure ulcers can be exacerbated by a breakdown in the integrity of the patient's skin caused by poor maintenance of the skin microclimate. Patient support systems (PSSs-specialised beds, mattresses, chairs, cushions and pads) play an important role in the dissipation of heat and moisture away from the skin/support interface which is necessary in order to maintain the physiological skin microclimate. This paper reports a laboratory method and theory for the simultaneous measurement of the heat and water vapour dissipating properties of PSSs. The results demonstrate that the method is extremely selective, exhibiting very significant differences between the PSSs tested. It also shows that assessing PSS covers independently does not necessarily indicate the overall performance of the complete PSS.

[1]  S. Fisher,et al.  Wheelchair cushion effect on skin temperature. , 1978, Archives of physical medicine and rehabilitation.

[2]  T A Krouskop,et al.  A synthesis of the factors that contribute to pressure sore formation. , 1983, Medical hypotheses.

[3]  H. D. Patton,et al.  Physiology and biophysics , 1965 .

[4]  H S Wiley,et al.  Studies on blisters produced by friction. I. Results of linear rubbing and twisting technics. , 1966, The Journal of investigative dermatology.

[5]  W. Lacefield,et al.  Wheelchair cushion effect on pressure and skin temperature. , 1985, Archives of physical medicine and rehabilitation.

[6]  B. Farnworth,et al.  Apparatus to Measure the Water-vapour Resistance of Textiles , 1984 .

[7]  Dinsdale Sm,et al.  Decubitus ulcers: role of pressure and friction in causation. , 1974, Archives of physical medicine and rehabilitation.

[8]  A. C. Park,et al.  Rheology of stratum corneum--I: A molecular interpretation of the stress-strain curve , 1972 .

[9]  E. Flam A new risk factor analysis. , 1991, Ostomy/wound management.

[10]  B. Sugarman Infection and pressure sores. , 1985, Archives of physical medicine and rehabilitation.

[11]  G V Cochran,et al.  Development of test methods for evaluation of wheelchair cushions. , 1980, Bulletin of prosthetics research.

[12]  W. S. Snyder,et al.  Report of the task group on reference man , 1979, Annals of the ICRP.

[13]  J T Scales,et al.  The prevention and treatment of pressure sores using air-support systems , 1974, Paraplegia.

[14]  G V Cochran,et al.  Wheelchair cushion effect on skin temperature, heat flux, and relative humidity. , 1980, Archives of physical medicine and rehabilitation.

[15]  S V Fisher,et al.  Pressure and temperature patterns under the ischial tuberosities. , 1980, Bulletin of prosthetics research.

[16]  I. H. Blank,et al.  Factors which influence the water content of the stratum corneum. , 1952, The Journal of investigative dermatology.

[17]  H.A.M. Staarink Sitting posture, Comfort and Pressure: Assessing the quality of wheelchair cushions , 1995 .

[18]  L. A. Hopkins,et al.  Patient-support system using low-pressure air. , 1971, The Lancet.