News

Download PDF: Visco Multizone Evaluation Case Series

Visco MultiZone Evaluation Case Series

Danielle Longthorn, Home Manager and Allyson Sanderson, Regional Senior Nurse, HC-One Care Homes

 

Background

The Harvest Healthcare Visco MultiZone mattress is an enhanced static mattress comprising varying density visco-elastic memory foam “Zones” across key areas of the mattress. The zones allow for higher levels of pressure relief around the sacral and feet areas whilst providing firmer support to the head, back and behind the knee, ensuring superior pressure redistribution across the entire body. The Visco MultiZone mattress is complete with a vapour-permeable, four-way stretch, water-resistant cover, which is machine washable up to 95 ºC. Suitable for very high-risk residents weighing up to 27 Stone (177 kg) and with pressure ulcers up to a category 2.

Method

A five-resident evaluation of the Visco MultiZone was commenced across four nursing units within the HC-One care homes. Prior to the evaluation, all five residents were on alternative castellated, very high-risk memory foam mattresses. Residents had an initial clinical assessment, mid-point assessment at five weeks and the final assessment at ten weeks when the trial was completed.

Data collected included age, sex, past medical history, skin condition, continence status, weight, BMI and mobility. Using the Waterlow tool, the risk of pressure ulcer development was determined to ensure the suitability of the Visco MultiZone and a dependency score was assigned to each resident, with 1 being low and 4 very high.

Initial Assessment

Resident 1

A 92-year-old female with a history of Type II Diabetes, Hypertension, Atrial Fibrillation, Heart Failure and Vascular Dementia. There was the presence of introguinous dermatitis under the right breast, but otherwise, the skin was healthy and intact, with no history of pressure damage. She was taking a normal diet and fluids, weight 51.2kg, BMI 22.1 and a Waterlow score of 22. She was fully mobile and repositioned herself independently but tended to sit for long periods of time. She was continent with a dependency score of 3.

Resident 2

A 96-year-old female with a history of Hypertension, Chronic Kidney Disease, Osteoarthritis, and considered frail with previous falls and a fractured neck of femur. There were skin tears to both the right and left legs, but the skin was otherwise healthy and intact, with no history of pressure damage. She was taking a normal diet and fluids, weight 47.5kg, BMI 20 and a Waterlow score of 19. The resident was immobile, being transferred with a hoist and repositioned 4 hourly. She was continent but presented with a UTI at the initial assessment and a dependency score of 3. She was using a memory foam pressure-relieving cushion in conjunction with the Visco Multizone.

Resident 3

A 92-year-old male with a history of Dementia, Epilepsy, Rheumatoid Arthritis and considered frail. His skin presented as dry and was treated with Hydromol, but otherwise intact, with no history of pressure damage. He was taking a normal diet and fluids, weight 59.15kg, BMI 19 and a Waterlow score of 20. He was independently mobile but tended to sit for long periods of time and declined the use of a pressure-relieving cushion. He was continent and had a dependency score of 1.

Resident 4

An 88-year-old male with a history of Spinal Stroke, Vascular Dementia, previous falls and considered frail. Presented with dry skin, which was being managed with derma cream, and bruises were visible on the left hip and right arm due to a recent fall. No history of pressure damage. He was taking a normal diet and fluids, weight 51.25kg, BMI 22 and a Waterlow score of 18. He was mobile but tended to lie in bed most of the day, continent and a dependency score of 4.

Resident 5

A 65-year-old male with a history of Chronic Obstructive Pulmonary Disorder, Tuberculosis, Bronchiectasis and Type II Diabetes. His skin presented as dry and was treated with Zerobase, but otherwise intact, with no history of pressure damage. He was taking a normal diet and fluids, weight 45.2kg, BMI 19 and a Waterlow score of 18. He was independently mobile and continent and had a dependency score of 2. He was using a memory foam pressure-relieving cushion in conjunction with the Visco MultiZone.

Mid-Point Assessment (Week 5)

A five-resident evaluation of the Visco MultiZone was commenced across four nursing units within the HC-One care homes. Prior to the evaluation, all five residents were on alternative castellated, very high-risk memory foam mattresses. Residents had an initial clinical assessment, mid-point assessment at five weeks and the final assessment at ten weeks when the trial was completed.

Data collected included age, sex, past medical history, skin condition, continence status, weight, BMI and mobility. Using the Waterlow tool, the risk of pressure ulcer development was determined to ensure the suitability of the Visco MultiZone and a dependency score was assigned to each resident, with 1 being low and 4 very high.

Final Assessment (Week 10)

The final assessment was performed at week ten. Resident 1 had been admitted to the hospital during the period since the mid-point assessment following a fall, which left red marks on her back; these were still present. Her BMI had reduced to 20.7, and Waterlow increased to 23, but the MultiZone continued to be a suitable support surface. Resident 3 had also sustained injuries to his back following a fall. However, these were healed before the final assessment. There were no other clinical changes to note at the end of the evaluation. Clinicians reported the mattress with the performance of the MultiZone mattress and found it easy to clean and compliant with organisation infection prevention and control policies.

Resident feedback was overall good. Three residents provided favourable comments, such as “It was good, comfortable,” “It was comfortable,” and “I’m sleeping well.” One resident mentioned that she “did not like it,” though this was also her opinion regarding the previous mattress. Another resident was unable to comment; however, clinicians observed that she appeared comfortable, with no changes noted in her sleeping pattern.

Conclusion

Even though it was a small cohort of residents, the trial was considered a success due to the data presented in this case study. Both resident and clinician feedback has been positive, with mattress comfort and resident sleep quality highlighted. The Harvest Healthcare Visco MultiZone has now replaced the alternative castellated, very high-risk memory foam mattresses across the HC-One care homes with guidance information developed by Harvest Healthcare for the organisation.

Harvest Healthcare will continue to collect clinician and resident feedback to ensure the MultiZone continues to perform effectively and to support new product development in the future.

 

For more information please visit the Harvest Healthcare website

For news and updates please follow our LinkedIn page

Or browse our Twitter feed

Choosing the Right Pressure Care Solution: Active Mattresses

Pressure ulcers, also known as bedsores, are a serious concern for individuals with limited mobility. These painful wounds develop when prolonged pressure on the skin restricts blood flow, leading to tissue damage. Choosing the right pressure care solution is crucial for preventing and managing pressure ulcers, and active mattresses are a key tool in this effort.

What is an Active Mattress?

An active mattress is a powered pressure redistribution mattress that uses air cells to constantly change pressure points on the body. This dynamic movement helps to improve blood circulation and reduce the risk of pressure ulcer development.

Key Considerations When Choosing an Active Mattress:

• Risk Level: The user’s risk level for developing pressure ulcers is the most important factor in selecting an appropriate mattress. This is typically assessed using a validated risk assessment tool like Purpose T.
• User Needs: Consider the individual’s weight, height, mobility, and any existing medical conditions.
• Mattress Features: Look for features such as:
• • Alternating Therapy: Provides cyclical pressure relief by inflating and deflating alternating cells.
  • Constant Low Pressure: Offers a static, low-pressure surface for additional support.
  • Max Inflate: Temporarily increases cell pressure for nursing procedures or user repositioning.
  • Seated Mode: Provides support when the backrest is elevated.
  • Comfort Control: Allows for personalised pressure adjustments.
• Pump Features:
  • Ease of use: Intuitive controls and clear displays for simple operation.
  • Reliability: Durable and dependable performance to ensure consistent pressure relief.
  • Safety features: Alarms and auto-return functions to enhance user safety.
• Warranty and Servicing: A comprehensive warranty and reliable servicing options are crucial for long-term peace of mind.

Recommended Active Mattresses from Harvest Healthcare:

Harvest Healthcare offers a range of high-quality active mattresses designed to meet diverse needs:

• Balmoral II: Ideal for very high-risk users, the Balmoral II features 27 PU cells (23 active, 4 static pillow) on a 50mm foam base. Its narrower cells and versatile pump modes (Alternating, Constant Low Pressure, Max Inflate, Seated) ensure optimal pressure redistribution and comfort.
• Balmoral Plus: Designed for very high-risk users, the Balmoral Plus offers enhanced pressure relief with 27 PU cells (23 active, 4 static) on a 50mm air base. Its versatile pump functions and durable construction make it suitable for demanding care environments.
• Hampton II: Suitable for high-risk users, the Hampton II features 20 PU cells (17 active, 3 static) on a cell-on-cell base. Its compact digital pump offers essential pressure care modes, making it a cost-effective solution for various care settings.

Why Choose Harvest Healthcare?

• Reliable and Durable Products: Our mattresses are built to last, providing consistent performance and peace of mind.
• Comprehensive Warranty: All our active mattresses come with a 3-year warranty for added reassurance.
• Cost-Effective Solutions: We offer a range of pressure care solutions to fit various budgets.
• Servicing and Repair: Our dedicated service team provides prompt and reliable support, ensuring your mattresses remain in optimal condition.
• Mattress Management Programme: Our comprehensive programme offers a cost-effective and sustainable alternative to mattress replacement, with repair, cleaning, and decontamination services.
• Training and Support: We provide comprehensive training and support to ensure your staff can effectively use and maintain our pressure care solutions.

Choosing the right active mattress is crucial to the user’s well-being. Contact Harvest Healthcare today to discuss your pressure care needs and find the best solution for your users.