Three modern methods of catheterization help reduce the risk to catheter patients for urinary tract infections and other aliments. These three methods are Urethral Introducer Tip Catheterization, Hydrophillic Catheterization and Touchless Catheterization. Many intermittent catheters utilize one or more of these methods. There are a few intermittent catheters that use all three methods. By employing the best methods currently known to reduce urinary tract infections, caregivers can provide better care for catheter patients and keep these patients healthier and happier.

Urethral Introducer Tip Catheters

Urethral Introducer Tip Catheters are plastic catheters enclosed in a lubricated plastic sleeve with an introducer tip that protects the catheter from contamination during transition of the first 1.5 cm of the urethra. This first 1.5 cm of the urethra is heavily colonized with bacteria that can easily contaminate an intermittent catheter during insertion. Clinical studies have found that using catheters equipped with an Introducer Tip helps keep catheters from getting contaminated during the cauterization process. Contaminated catheters can introduce harmful bacteria to the bladder and kidneys. Uncontaminated catheters keep patients who are at risk of urinary tract infections (UTI’s) healthier and happier.

Hydrophillic Catheters

Hydrophillic Catheters are designed as pre-lubricated catheters to ease friction on the urethra upon insertion. When activated with water, hydrophilic catheters become extremely slippery. Producing less friction, Hydrophillic Catheters are less intrusive to tissues; thereby exposing the patient’s urinary tract to fewer traumas during catheter insertion and removal. Catheter patients experience less pain and are more comfortable with the catheterization procedure.

Touchless Catheters

Touchless Catheter systems are designed to help reduce the risk of urinary tract infections. These closed catheter systems are usually self-contained with gloves, iodine swabs, waterproof underpad, drape, and collection container. Some use sterile syringes.

Clinical Studies

Studies of spinal cord injured patients using urethral introducer tip catheters found decreased urinary tract infections among patients that used this system. Introducer tip catheters bypass the bacteria colonization area of the urethra.

A study of hydrophilic catheters found that catheterizing patients had a significantly lower number of scrotal inflammatory episodes, a significantly lower number of post/intra/inter bleeding, and a slightly lower number of UTI infections.

However, another study using SpeediCath Hydrophilic Coated Catheters from Coloplast found that the number of patients using the Hydrophilic Coated Catheters were half as likely to contract a UTI compared to an uncoated PVC catheter.

A study involving touchless produced a reduction of 44.5% in UTI’s for catheterized patients. The touchless method of was successful in reducing the total number of infections and the duration of the infections. Nursing staff in this study indicated a preference for touchless intermittent to the traditional methods.

Urethral Introducer Tip Catheters, Hydrophillic Catheters and Touchless Catheters have each been shown to provide patient benefits by reducing UTI’s and increasing greater patient comfort. Popular catheters that employ all three of these modern methods include the Rochester Magic3 Hydrophilic Touchless Catheters and the Rusch MMG Touchless Catheters.

Magic3 Hydrophilic Touchless Catheters by Rochester Medical are packaged with a sterile water packet and a pre-lubricated introducer tip. The Magic3 Hydrophilic Touchless Catheter Closed System with Urethral Introducer Tip provides nearly friction-free insertion and removal, making these catheters gentle to sensitive tissues and easy to insert. This all-silicone Hydrophilic Catheter is DEHP-free, PVC-free and latex free to reduce potential hazards for people with allergies. Magic3 Hydrophilic Touchless Catheters have three silicone layers to optimize ease of insertion, handling, and patient comfort. The Touchless Catheter packaging makes it quick and easy to prep while maintaining sterility in any setting. Rochester Medical Magic3 Hydrophilic Touchless Catheters are packaged as a Urethral Tray Kit with pre-connected trays that feature a 16 inch catheter pre-connected to 1000mL drainage bag. Also included in the tray kit are gloves, PVP Towelettes, waterproof underpad, lubricating jelly and a specimen container with label. Other options for the Magic3 Catheters are also available to meet the needs of individual catheter patients.

Rusch MMG Touchless Catheters are a self-contained, intermittent catheter system, fully protected within its own closed sterile field. The Rusch MMG Hydrophillic Touchless Catheter with Urethral Introducer Tip significantly reduces the risk of bladder infections with its pre-lubricated design and introducer tip. The MMG Catheter Kit is highly portable, fitting in your pocket or purse. The Rusch MMG Touchless Catheter uses a soluble water-based lubricant for easy insertion. No separate lubrication procedure is needed with this catheter. The MMG Catheter drainage eyelets are recessed and polished and the tips are tapered assuring smoother glide passage through the urethra. The self-contained urine collection bag eliminates the need for separate containers, thus reducing the risk of spillage and allowing for ease of disposal.

Reducing urinary tract infections is not just a concern for caregivers. Self-catheterizing patients can use these methods at home to reduce the risk of infections. Catheters that employ introducer tips, hydrophilic lubrication, and touchless give patients better odds at combating UTI’s. patients, whether hospitalized or utilizing homecare, can benefit from the reduced risk to urinary tract infections. Less kidney infections, fewer bladder infections and reduced tissue trauma make catheter patients happy!

Resources

Bennett, Carol J., Young, Mary N., Razi, Salman S., Adkins, Rodney, Diaz, Frances, and McCrary, Annie.: The effect of urethral introducer tip catheters on the incidence of urinary tract infection outcomes in spinal cord injured patients. Journal of Urology, 158: 519-21. 1997.

Spinu, A., Onose, G., Daia, C., Panţu, C., Anghelescu, A., Onose, L., and Mihăescu, A.: Intermittent in the management of post spinal cord injury (SCI) neurogenic bladder using new hydrophilic, with lubrication in close circuit devices–our own preliminary results. Journal Medicine and Life, 5: 21-8. 2012.

De Ridder, D.J., Everaert, K., Fernández, L.G., Valero, J.V., Durán, A.B., Abrisqueta, M.L., Ventura, M.G., and Sotillo A.R.: European Urology, 48: 991-5, 2005.

Charbonneau-Smith, R.: No-touch and infection rates in a select spinal cord injured population. Rehabilitation Nursing, 18: 296-9, 1993.

Our current employees are enthusiastic about their work and personal lives. The CEO of Vitality Medical has a background in Health Administration and is a registered nurse. For fun he competitively water skis and backcountry snowmobiles. We have a customer service manager that is a hard core Harley rider that sits on an exercise ball all day and our information’s systems guru is gung ho about doge ball. Our marketing president loves her daughter, Yoga, shopping and Frisbee golf. All of our employees are lots of fun and we only hire people, who care about our customers whether they are answering the phone, shipping products or developing a user friendly website.

We are growing and almost always hiring.

We have a variety of paid and unpaid internships that will not only let you be part of a growing company, but you’ll also gain valuable experience for your future career. If you are interested in an internship please email us at jobs@vitalitymedical.com and put Internship in the Subject line. They typically last a semester and can lead to future, full time opportunities at VitalityMedical.com

Vitality Medical is an Equal Opportunity Employer.

What Is Erectile Dysfunction (ED)?

Erectile Dysfunction (ED) is a condition in which the penis cannot become fully erect. ED can vary in degrees, but is different from other sexual problems, lack of libido and ejaculation issues. Occasionally having difficulty getting an erection doesn’t necessarily mean you have ED, but difficulty over 50% of the time is a good indication. Vitality Medical sells several vacuum erection devices that help with ED including the Osborn ErecAid, the Augusta Elite Custom, and the Encore Impo Aid.

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Who does Erectile Dysfunction affect?

An estimated 30 million men in the U.S. have ED. ED generally affects 5% of men over the age of forty, and increases dramatically to 15% of men age 70 or older.

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What causes Erectile Dysfunction?

The following are some high-risk conditions and behaviors that may affect erections:

• Kidney Disease
• High cholesterol
• Depression
• Atherosclerosis (hardening of the arteries)
• Kidney disease
• Smoking
• Drinking
• Illegal drugs
• High stress

All of these conditions/behaviors may lead to Erectile Dysfunction. Some of these behaviors, such as smoking and drinking, can damage the blood vessels in the penis. These causes may require medication or devices, such as erection pumps. Other conditions such as stress and lack of exercise can likely be improved without medication or devices. In fact, the primary causes of temporary ED are stress and anxiety.

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What can I do if I think I have ED?

If you think you have ED, the single most important thing you can do is talk to your doctor. Your doctor can look at your medical history, concerns, and make an accurate diagnosis.

Before visiting the doctor’s, be sure to write down important information. This information includes: any medications currently being taken and any questions you might have. Doctors only have a few minutes for each patient, so it’s important to use that time wisely.
Be sure to mention any of the following conditions:

• Severe headaches
• Change in appetite
• Weight loss
• Stress
• Painful eating
• Change in mood
• Abdominal pain or bowl movement changes
• Changes in sleep patterns
• Lack of physical coordination
• Memory loss
• Change in libido

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What should I ask my doctor?

Here are some questions that you could ask your doctor:

• Is my ED caused by illness?
• Are my medications the cause of this problem or making it worse?
• What, if any, medications should I take? (medications for hypertension, depression, and high blood lipids can interfere with an erection)

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It’s embarrassing to talk to my doctor, what should I do?

It’s natural to feel uncomfortable talking about sexual problems. It’s important to remember that your doctor is a trained professional and only wants to help. Having your partner with you at the visit may help ease some of the concern, and he/she may have questions for your doctor as well.

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What kinds of treatments are available?

If the ED is caused by an underlying condition, then your doctor may recommend some lifestyle changes. These changes include: exercising, quitting smoking, consuming less alcohol, and reducing stress.

For problems that stem from physiological dysfunction, treatments include:

• Oral medication (such as Viagra)
• Intraurethral suppositories (medicine inserted in the urethra)
• Intracavernosal injections (injections inserted into the Corpora Cavernosa chamber, which is located on the upper sides of the penis)
• Vacuum erection devices
• Penile prostheses
• Psychotherapy

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What is an Intra-cavernosal injection?

Intra urethral suppositories are injections that go directly to the corpora cavernosa, located on the upper sides of the penis. There are several different drugs available, and many doctors prefer to use a combination because there are fewer side effects. These injections can be painful, and may lead to fibrosis or scaring of the cavernosa.

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What is an Intra-urethral suppository?

Intra urethral suppositories are pellets that can be inserted in the urethra to obtain an erection. Once inserted, men generally have to remain standing for 15-30 minutes to increase blood flow to the penis. Side effects include: bleeding, pain in the urethra and testicles, dizziness, and itching and burning in the woman. They cannot be used to have intercourse with pregnant women unless barrier methods are used.

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What is a Penile prosthesis?

A penile prosthesis is a device surgically attached to the penis that controls the erection. These devices, though effective, require surgery and may not be suitable for everyone. Generally they are considered a “last resort” in ED treatment.

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What is vacuum erection therapy?

In a recent study, 43% of men over 50 chose to use a vacuum therapy. There are many different vacuum erection devices (vacuum constriction device), including Osbon’s ErecAid vacuum therapy system and Encore Medical. All have the same basic function but primarily differ in ease of use, effectiveness of seal and types of ring kits.

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How does a vacuum erecting device work?

1. The user expands the penis ring over the bottom of the plastic cylinder.
2. To promote a proper suction seal, lubricant is applied to the base of the penis, bottom of the plastic cylinder and inside the tube to allow the penis to easily be drawn into the tub once suction is applied.
3. The penis is inserted into the tube and the tube is pushed against the base of the penis and body to create a proper seal.
4. Suction is initiated by either a manual or automatic battery pump.
5. As negative pressure develops the penis is engorged with blood and an erection is achieved.
6. After the erection is achieved the elastic penis ring is slipped off the tube to the bottom of the shaft of the penis and the erection is maintained.
7. The plastic cylinder is removed for intercourse.

First, the user expands the penis ring over the bottom of the plastic cylinder. Secondly to promote a proper suction seal, lubricant is applied to the base of the penis, bottom of the plastic cylinder and inside the tube to allow the penis to easily be drawn into the tube once suction is applied. Thirdly, the penis is inserted into the tube and the tube is pushed against the base of penis and body to create a proper seal. Fourth, suction is initiated by either a manual or automatic battery pump. As negative pressure develops the penis is engorged with blood and an erection is achieved. Fifth, after the erection is achieved the elastic penis ring is slipped off the tube to the bottom of the shaft of the penis and the erection is maintained. The plastic cylinder is removed for intercourse.
As mentioned earlier, one of the best choices for vacuum erection therapy is the Osbon’s ErecAid. ErecAid is an FDA approved, non-invasive option with minimal side effect risk. Unlike oral medications and injections you control the timing of the erection and maintain complete control with no pressure to perform.

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Are there any Erectile Dysfunction treatments I should avoid?

Because of recent success in the treatment of ED, there are many scams, often sold through e-mails and bogus websites. If product claims any of the following, be very careful:

The product or pump is sold through a novelty store and is non-FDA approved. Note some of these products may actually be damaging because there is no limit on the suction and the suction device was not developed for medical purposes.

The product is promoted as “breakthrough.” Although there are breakthroughs in ED treatment, fake products often use this sensationalist claim over and over again.

The advertisement claims that it helps an extremely high number of patients. All treatments claim to be successful; however, scam treatments will often claim something like “99.9% effectiveness.”

No prescription needed. If it’s an effective oral medication, it probably needs a prescription.

The product is herbal or “all natural.” If a drug makes these claims, you can safely dismiss it, because no herbal or “all natural” treatment has proven effective.

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Sources

Sexuality Later In Life
Erectile Dysfunction: The Facts
Getting the Most From Your Doctor’s Appointment
Checklist to Take to Your Doctor’s Appointment
What Are the Treatments For Erectile Dysfunction
Intracavernosal Injections
The Truth About Impotence Treatment Claims
Impotence-Guide.com

Helpful Articles

Erectile Dysfunction: Prostate Cancer
Prostate Cancer: Radical Perineal Prostatectomy
Erectile Dysfunction Overview
Another Erectile Dysfunction Overview
Impotence/Erectile Dysfunction Introduction






Copyright © VitalityMedical.com – All Rights Reserved. ]]> http://www.vitalitymedical.com/info/what-is-erectile-dysfunction-ed/feed/ 0 http://www.vitalitymedical.com/info/common-questions-about-catheters-2/ http://www.vitalitymedical.com/info/common-questions-about-catheters-2/#comments Fri, 19 Nov 2010 19:56:39 +0000 adam http://www.vitalitymedical.net/info/?p=508
What is a foley catheter?
What is a touchless catheter?
What is an intermittent catheter?
What is a Condom (Texas) catheter?
What is a Cunningham Clamp?
Do you sell female catheters?
What is an insertion tray?
Which drainage or leg bag should I choose?

Common Questions About Catheters

What is a Foley Catheter?

A Foley Catheter is a long tube inserted into the bladder. The catheter is held in place by a balloon filled with sterile water. The balloon is not large and should not hurt when inflated. On inflation, urine will drain into the drainage bag. People with undefinable bladders, known bladder tumors, and lower abdominal wounds and scarring.
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What is a Touchless Catheter?

Touchless Catheters are similar to regular catheters, but have an insertion device which allows the catheter to be inserted without touching the penis. The catheters help with sanitation and cause less mess.
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What are Intermittent Catheters?

Intermittent Catheters are used by people who have short-term incontinence, which often caused by gynecological and neurological problems. The catheters are generally self-administered and require a fair amount of dexterity and flexibility in the arms and legs.
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What are Condom Catheters?

Condom catheters, sometimes called “Texas Catheters”, are shaped like a condom and fit over the penis in the same manner. The urine drains out of the catheter into a tube. They are typically used for short-term because of long-term use side effects such as urinary tract infections and ureathreal blockage.
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What is a Cunningham Clamp?

Cunningham Penile Clamps consists of a steel frame surrounded by foam padding. The steel frame clamps around the penis and closes off the urethra. This clamping prevents urine from leaking out at embarrassing moments. The clamp has five different settings allowing the patient to chose the optimal comfort level. Other Incontinence Clamps include the Gyrx Squeezer Klip, Greenwald Surgical Baumrucker Clamp and the Jackson Medical J Clamp.
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Do you sell female catheters?

Yes, we sell both Female Catheters and Female Urinals.
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What is an insertion tray?

Insertion trays are kits which include the necessary accessories to insert a catheter. The products included in Insertion Trays vary; be sure to check the product description to make sure that it has the products needed.

• Lubricant: lubricates the catheter
• Latex gloves: in order to maintain sterility
• Underpad: prevents leaks
• Sterilizing solution: sterilizes the catheter
• Prepping balls: used to apply sterilizing solution
• Forceps: assists with the insertion of the catheter

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Which Drainage Bag or Leg Bag should I choose?

Make sure the bag is just the right size for your needs and that it works with your catheter. Anti-reflux models are also helpful because the valve prevents urine for going backwards in the tube.
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Sources

Foley Catheter Introduction
eMedicine – Suprapubic Aspiration
Catheters For Urinary Incontinence in Men

Helpful articles

The Urology Channel
eMedicine – Urology Articles
Foley Catheter
Methods for Removing a Nondeflating Foley Catheter
American Urological Association




Copyright © VitalityMedical.com – All Rights Reserved. ]]> http://www.vitalitymedical.com/info/common-questions-about-catheters-2/feed/ 0 http://www.vitalitymedical.com/info/what-are-the-different-stages-of-wounds/ http://www.vitalitymedical.com/info/what-are-the-different-stages-of-wounds/#comments Thu, 18 Nov 2010 22:27:22 +0000 adam http://www.vitalitymedical.net/info/?p=401

What is a Stage 1 wound?

What is a Stage 2 wound?

What is a Stage 3 wound?

What is a Stage 4 wound?

What Are The Different Stages Of Wounds?

What is a Stage 1 wound?

Stage 1 wounds do not have any visible skins cuts. However, the skin covering the wound can be remarkably different from the surrounding area. The differences may be changes in temperature, firmness, or color of the skin. The wound may also be pain or itchy.

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What is a Stage 2 wound?

In a Stage 2 wound the topmost layers of skin is severed(epidermis and dermis). There may be some drainage.

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What is a Stage 3 wound?

Stage 3 wounds are deeper than stage 2 wounds. They typically go down to to the “fat” layer(subcutaneous), but do not extend any further. There may be dead tissue and drainage.

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What is a Stage 4 wound?

Stage 4 wounds are very serious. These wounds are characterized by going as far down as the bone and muscle. Dead tissue and drainage are almost always present.

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When should I consult a physician about my wound?

If you are in doubt about the seriousness of the wound, consult a doctor. There are some good indications whether the wound is serious or not.

• Any sort of pus or cloudy, creamy fluid
• Increasing redness around the wound
• Increased pain or swelling 48 hours after the wound occurs
• The wound won’t stop bleeding
• Fever
• Wound hasn’t healed in 10 days
• Numbness
• The wound is deep and you have not had a tetanus shot in the last 5 years

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What can I do to treat the wound?

Your doctor should decide what type of treatment is best for you. He or she will most likely recommend some of the following treatment options:

• Avoid putting pressure on the wound. Check your wheelchair cushions, transfer benches, mattresses, and any other seating arrangements to see if they are causing the problem.
• Stage 1 wounds should be gently washed with soap and water. Stage 2-4 wounds should have a dry dressing on them at all times, unless your healthcare provider says otherwise.

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Sources

Taking Care of Pressure Sores – University of Washington

Wound Infection – Description/Symptoms

Cuts, Scrapes and stitches: Caring For Wounds

Pressure Ulcer – MedlinePlus

Copyright © VitalityMedical.com – All Rights Reserved. ]]> http://www.vitalitymedical.com/info/what-are-the-different-stages-of-wounds/feed/ 0 http://www.vitalitymedical.com/info/when-are-the-different-types-of-dressings-used/ http://www.vitalitymedical.com/info/when-are-the-different-types-of-dressings-used/#comments Thu, 18 Nov 2010 22:10:05 +0000 adam http://www.vitalitymedical.net/info/?p=395 When are Calcium Alginate dressings used?
When are charcoal dressings used?
When are collagen dressings used?
When are composite dressings used?
When are compression dressings used?
When are enzymatic debriders used?
When are foam dressings used?
When are hydrocolloid dressings used?
When are hydrogels used?
When are silicon gel sheeting used?
When are transparent dressings used?

When Are The Different Types Of Dressings Used?

Note: The following is only meant to explain the typical use of each type of medical dressing. Always consult a physician when treating any type of serious or chronic wound, or any wound that you are unsure about.

When are Calcium Alginate dressings used?

Calcium Alginate are for moderate to heavy wounds, because of their superior absorption ability. For lighter wounds, try a thinner, less heavy dressing.

When are charcoal dressings used?

Charcoal dressings are primarily used for odor control. They usually require cover dressing or tape to secure it in place.

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When are collagen dressings used?

Collagen would are used for several different types of wounds including: burns, pressure ulcers, scrapes, cuts.

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When are composite dressings used?

Composite dressings can be used on anything from light to heavy wounds. Use extra caution fi the patient has dehydrated or sensitive skin. Consult with the manufacturer to make sure that the dressing can be used on infected wounds. The skin around the wound must be intact if the dressing has an adhesive border. Check your insurance company’s guidelines about reimbursement for composite dressings used as secondary dressing with impregnated gauze or hydrogel.

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When are compression dressings used?

Compression dressings are used to control swelling and promote circulation. Particularly useful for diabetic patients and people with poor circulation.

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When are enzymatic debriders used?

Enzymatic debriders are used for wounds that have necrotic(dead) tissue that won’t easily slough off. Depending on the size of the wound, you may want to have a secondary dressing to catch excess drainage.

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When are foam dressing used?

Foam dressings are for first and second degree burns, skin tears, pressure ulcers, and abrasions and other moderate to heavy draining wounds.

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When are hydrocolloid dressings used?

Hydrocolloid dressings can be used for light to moderate acute and chronic wounds. If monitoring the wound is important, make sure that the dressing is transparent. Do not use a hydrocolloid if the skin surrounding the wound is infected.

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When are hydrogels used?

Hydrogels are used for burns(including those caused by radiation) skins tears, surgical wounds, and pressure ulcers. Because of the high water content in hydrogels, this type of dressing is used for wounds with small to moderate amounts of drainage.

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When are silicon gel sheetings used?

Silicone gel sheeting prevents the formation of excessive scar tissue, sometimes called keloids. Silicone gel sheeting does this by preventing moisture from entering the scar area. If the moisture at the scar area is reduced, then there is less blood flow, and
consequently less collagen, at the scar area. This reduction in collagen is important because collagen is the material that makes up scar tissue. By reducing collagen at the scar area, the scar becomes paler, making the scar’s color closer to the color of your skin.
If you are specifically interested in Cica Care Silicone Gel Sheeting, step-by-step instructions for usage, as well as a “Cica Care diary,” are available on Smith & Nephew’s website.

When are transparent dressings used?

Transparent dressings are for light wounds and blisters. They are also useful for viewing the wound without exposing it to bacteria.

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Sources

Cica Care – Smith & Nephew
When To Use Hydrocolloid Dressings
When To Use Composite Dressings
When To Use Hydrogel Dressings
Keloid and Hypertrophic Scars




Copyright © VitalityMedical.com – All Rights Reserved. ]]> http://www.vitalitymedical.com/info/when-are-the-different-types-of-dressings-used/feed/ 0 http://www.vitalitymedical.com/info/what-is-an-unna-boot/ http://www.vitalitymedical.com/info/what-is-an-unna-boot/#comments Thu, 18 Nov 2010 21:41:04 +0000 adam http://www.vitalitymedical.net/info/?p=391
What Is An Unna Boot?
What Are Unna Boots Used To Treat?
How do I apply an Unna Boot Dressing?
How long do I use an Unna Boot?
Is there anyone who should not use an Unna Boot?
Can I wear socks or shoes while wearing an Unna Boot Dressing?

Common Unna Boot Questions

What Is An Unna Boot?

Unna Boots are named after a German dermatologist, Paul Gerson Unna. Dr. Unna specialized in diagnosing and treating diseases of the skin. The Unna Boot itself is a compression dressing, usually made of cotton, that has a zinc oxide paste applied uniformly to the entire bandage. The zinc oxide paste in the Unna Boot helps ease skin irritation and keeps the area moist. The zinc promotes healing within wound sites, making it useful for burns and ulcers. Zinc oxide paste is superior to gelatins used in other dressings, because it does not harden or cake. Some Unna Boots also contain calamine lotion and glycerin. Vitality Medical carries several different brands of Unna Boots including: Western Medical’s Primer Modified Unna Boot Dressing, BSN-Jobst’s Gelocast Unna Boot Dressing, Kendall’s Tenderwrap Unna Boot and ConvaTec’s Unna Flex Elastic Unna Boot.

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What Are Unna Boots Used To Treat?

Unna Boots are used to treat edema, ulcers and sores. Unna Boots provide between 20-30 mmHg in pressure, making them useful in a variety of wounds. In general, Unna Boots are used to treat wounds with light to moderate drainage and sometimes used with hydrogel dressings. Unna Boots are more commonly used for patients who are active and can move on their own, as opposed to patients who are confined to a wheelchair or bed.

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Which Unna Boot Dressing Should I Get?

The type of Unna Boot dressing needed depends on what type of injury is being treated. If the wound has a high drainage, or you don’t want to change the dressing daily, use Smith & Nephew’s Profore four bandage pack. Because the Profore bandage does not require constant changing, it can be more cost-effective than other bandages. If you or the patient have an physically active lifestyle, use Coloplast CircAid Thera Boot Compression System, which uses interlocking velcro bands to provide an adjustable fit. These bands are machine washable and reusable, but doesn’t lose its effectiveness over time. For injuries that need higher compression, use Convactec’s Surepress High Compression Bandage over the primary dressing. For situations in which you don’t want the Unna Boot to become semi-rigid, use Convactec’s Unna Flex Elastic Unna Boot. The Unna Flex is also available in a Venous Ulcer Kit, which comes with four self-adhesive bandages.

Also consider whether to you want calamine in your Unna Boot. Calamine helps reduce itching, pain and skin irritation, and costs only slightly more. The Primer Unna Boot and Tenderfoot Unna Boot are available with or without calamine. The Gelocast Unna Boot is only available with calamine and the Unna Flex Unna Boot is only available without calamine.

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How do I apply an Unna Boot Dressing?

Begin wrapping the leg with the Unna Boot dressing behind the first metatarsal(about two inches from the tip of the toe, just before the foot starts to curve). As you wrap, add pleats or tucks to the Unna Boot dressing for easier application. You may also use a figure-eight pattern of wrapping to apply the Unna Boot. Stop wrapping the leg at the tibial tubercle (about an inch below the knee).

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How long do I use an Unna Boot?

Unna Boots can remain for up to 7 days before changing. If drainage from the wound starts to leak from the Unna Boot dressing, be sure to replace it promptly. The Unna Boot should remain on for 2 days after the edema disappears.

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Is there anyone who should not use an Unna Boot?

If you have a wound that has undermining or tunneling should not use an Unna Boot. Do not shower or use a bath tub while wearing an Unna Boot, unless a covering, like Xerosox’s Half Leg Cast Protector, is used. Unna Boots tend to be less effective for bed-ridden or wheelchair patients; other options may be more effective.

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Can I wear socks or shoes while wearing an Unna Boot Dressing?

Yes, you should be able to wear regular socks and shoes while wearing an Unna Boot dressing. If you are unable to do so, try wearing a wider shoe or slipper with the Unna Boot Dressing.

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Sources

Venous Ulcer Treatments
Family Practioner’s Notebook
Who named it – Paul Gerson Unna
Compression Treatment for Chronic Venous Insufficiency
Western Journal of Medicine – Using an Unna’s Boot in treating ligamentous ankle injuries
Medscape
Calamine (Topical)
Pharmasave – Library




Copyright © VitalityMedical.com – All Rights Reserved. ]]> http://www.vitalitymedical.com/info/what-is-an-unna-boot/feed/ 0 http://www.vitalitymedical.com/info/common-questions-about-bed-sores/ http://www.vitalitymedical.com/info/common-questions-about-bed-sores/#comments Thu, 18 Nov 2010 21:24:55 +0000 adam http://www.vitalitymedical.net/info/?p=387
What are bed sores?
What are the symptoms of bed sores?
What are the risk factors for bed sores?
How can I prevent bed sores?
How can I treat bed sores?

Common Questions About Bed Sores

What are bed sores?

Pressure sores, often called bed sores, are breakages in the skin caused by constant pressure or friction. bed sores likely get their name because they are so common among bed-ridden patients. HealthAtoZ reports that 10% of hospital patients, 25% of nursing patients, and 60% of quadriplegics suffer from bed sores and that 60,000 people die from bed sores every year. Because bed sores are common, it’s important to know how bed sores form and are treated.

As mentioned above, bed sores form from constant pressure or friction. Constant pressure, which can be caused by something like a bed or mattress, cuts off blood flow to the area. If blood flow continues to be cut off, the tissue will eventually die and break up, causing the bed sore. CNN states that the most common areas for bed sores include: the back and sides of the head, rims of ears, shoulders and shoulder blades, hip bones, lower back and tailbone. The backs and sides of the knees, heels, ankles, and toes are also susceptible to bedsores.

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What are the symptoms of bed sores?

The first sign of a potential bed sore is a red mark on the affected area that won’t change color when pressure is applied. Another symptom of bed sores can be a loss of sensation or feeling in the affected area. The skin may also be unusually firm or spongy. As the bed sore begins the skin will follow the 4 stages of wound (illustrations can be found in the article “What Are The Different Stages Of Wounds?”). That means that the bed sore will first start to bleed, and possibly release drainage. As the bed sore advances, it goes deeper and causes more drainage. The bed sore, if untreated, proceeds to the “fat” layer and creates more dead tissue and drainage. If the bed sore continues to go untreated, it can reach the bone and destroy it.

The greatest problem caused by bed sores is the possibility of an infection, which can hinder the immune system and are potentially fatal. Unfortunately, infection can occur in even small, shallow bed sores. Therefore, it is important to treat bed sores as soon as they are known.

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What are the risk factors for bed sores?

Risk factors for bed sores can be divided into two categories: internal and external. Internal causes are problems within the body and external causes are things in the environment that can be controlled.

Internal causes include:

• Age: Older people are more likely to experience bed sores
• Hardening of the arteries: As the arteries harden, circulation is reduced and likelihood of dead tissue forming is increased.
• Diseases that make skin infections more likely: Infections create dead tissue, which is key in the formation of bed sores.
• Obesity: Obesity can reduce the mobility of the patient, making them more likely to remain stationary for long periods of time and puts constant pressure on parts of the body.
• Spinal cord injury and paralysis: These two problems also reduce a patient’s mobility.
• Loss of feeling or sensation: If there is no sensation in the body, it can be difficult to know when pressure as been applied to the body for too long.
• Malnutrition and dehydration: Tissue needs a constant supply of nutrients to stay alive.

External causes include:

• Living in a nursing home: Because patients living in a nursing home are less likely to be mobile, they are more susceptible to bed sores.
• Incontinence: Incontinence increases the likelihood of skin infections.
• Unsanitary conditions(e.g. dirty sheets or clothing): These conditions can also increase the likelihood of infection.

The list above is not a comprehensive list, but does list the major risk factors.

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How can I prevent bed sores?

Bed sores can be prevented in a few different ways. To reduce prevent constant pressure in bed, consider using Spenco’s Silicore bed pad. This bed pad uses moisture-resistant nylon that doesn’t mat down and protects pressure-prone areas of the body. Bed-ridden patients can also use Hollister’s Heelbo heel and elbow protectors and SWT Heel, foot & ankle protectors. These protectors are made of comfortable, non-latex materials and reduce the pressure for areas of the body prone to bed sores. For patients who use a wheelchair, consider a sheepskin seat cover and arm rest.

When incontinence is a risk factor in a patient, use BAZA Antifungal and Calmoseptine Ointment to reduce the possibility of a bed sore. FNC’s moisture barrier cream can also be useful in preventing bed. For skin that is beginning to show signs of a bed sore, but hasn’t broken, use a Castile soap to gently wash the skin.

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How can I treat bed sores?

Serious bed sores will likely require surgery. If the patient has a bed sore forming, consult with a doctor as soon as possible. If the patient is malnourished or dehydrated, begin an appropriate diet and provide the necessary amount of water, which will help treat the bed sore. Hydrocolloid and transparent dressings are also used to cover the open bed sore.

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Sources

Ucan – Preventing and Treating Pressure Ulcers in People with Amyotrophic Lateral Sclerosis (ALS)
Bed Sores
Health AtoZ – “bed sores”
How To Prevent Bed Sores From Becoming Deadly




Copyright © VitalityMedical.com – All Rights Reserved. ]]> http://www.vitalitymedical.com/info/common-questions-about-bed-sores/feed/ 0 http://www.vitalitymedical.com/info/how-long-should-my-wheelchair-or-scooter-ramp-be-2/ http://www.vitalitymedical.com/info/how-long-should-my-wheelchair-or-scooter-ramp-be-2/#comments Thu, 18 Nov 2010 21:21:04 +0000 adam http://www.vitalitymedical.net/info/?p=381

Calculating the Safe Length of Your Wheelchair Or Scooter Ramp

In order to use this chart to determine the proper incline for a wheelchair or scooter ramp there are a few steps that should be done beforehand:

1. Determine the incline your wheelchair or scooter is designed to climb
2. Measure the distance from the top step or landing to the ground. That distance is called the rise.

Once that measurement for the rise has been made, refer to the ramp incline chart to find the proper ramp length. For example, if someone was interested in a 3″ wheelchair or scooter ramp and rise was 9″, then the incline would be 14.5° The ADA has suggests that a slope of 1:12 the best suited for wheelchair or scooter ramps. That means for every inch of rise the wheelchair or scooter ramp extends 12 inches or one foot. That means the ideal wheelchair or scooter ramp incline in degrees would be 4.8° Once the wheelchair or scooter ramp is installed, make sure that the wheelchair or scooter ramp is used only with a qualified helper.

								16.5°	34"
								15.5°	32"
							16.1°	14.5°	30"
						17.0°	15.0°	13.5°	28"
						15.7°	13.9°	12.5°	26"
					16.6°	14.5°	12.8°	11.5°	24"
					15.2°	13.2°	11.8°	10.6°	22"
				16.1°	13.8°	12.0°	10.7°	9.6°	20"
				14.5°	12.4°	10.8°	9.6°	8.6°	18"
			15.5°	12.8°	11.0°	9.6°	8.5°	7.7°	16"
		17.0°	13.5°	11.2°	9.6°	8.4°	7.4°	6.7°	14"
		14.5°	11.5°	9.6°	8.2°	7.2°	6.4°	5.7°	12"
	16.1°	12.0°	9.6°	8.0°	6.8°	6.0°	5.3°	4.8°	10"
	14.5°	10.8°	8.6°	7.2°	6.2°	5.4°	4.8°	4.3°	9"
	12.8°	9.6°	7.7°	6.4°	5.5°	4.8°	4.2°	3.8°	8"
17.0°	11.2°	8.4°	6.7°	5.6°	4.8°	4.2°	3.7°	3.3°	7"
14.5°	9.6°	7.2°	5.7°	4.8°	4.1°	3.6°	3.2°	2.9°	6"
12.0°	8.0°	6.0°	4.8°	4.0°	3.7°	3.0°	2.7°	2.4°	5"
9.6°	6.4°	4.8°	3.8°	3.2°	2.7°	2.4°	2.1°	1.9°	4"
7.2°	4.8°	3.6°	2.9°	2.4°	2.0°	1.8°	1.6°	1.4°	3"
2′	3′	4′	5′	6′	7′	8′	9′	10′

Note: The table above is only a guide. Look at the equipment’s manual for the proper degree of incline. Do not exceed its recommendation.

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What else should I consider when purchasing a wheelchair or scooter ramp?

Finding the right length and rise for a wheelchair ramp is only part of solution, other factors need to be considered as well. Consider where the wheelchair or scooter ramp will be placed. If the wheelchair or scooter ramp is placed in a high traffic area, or will be used frequently, consider getting an aluminum wheelchair ramp. A aluminum wheelchair ramp is a weather-resistant, heavy duty wheelchair ramp that will help you get the most for your money. If the ramp is placed in situations that require it to extend or shorten to various lengths, use a telescoping wheel chair ramp. The telescoping ramps are still sturdy, although the weight capacity is slightly less than other wheelchair or scooter ramps. In some cases, a full ramp may be too much for little places around the house. Doorways, raised landings, and sliding glass doors would all benefit from wheelchair threshold ramps. Despite their small size, wheelchair threshold ramps have a weight capacity of 600 lbs. For situations in which mobility is important, consider using a suitcase wheelchair ramp. These modular wheelchair ramps fold neatly into a suitcase size package with a handle for convient carrying. These suitcase sized packages are easy to lift, making it easier on the caretaker’s back.

For more information about how wheelchair ramps compare, take a look at our side-by-side comparison of EZ ACCESS Ramps. If you have any additional questions about which wheelchair or scooter ramp is right for you, contact Vitality Medical at 1-800-397-5899 or support1@vitalitymedical.com.

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Sources

EZ Access Wheelchair and Scooter Ramps Website

Copyright © VitalityMedical.com – All Rights Reserved.

What are the differences between the EZ-ACCESS wheelchair or scooter ramps?
What are the differences between EZ Access Trifold Advantage Series ramps?

EZ-ACCESS Ramp Comparison

What are the differences between the EZ-ACCESS wheelchair or scooter ramps?

Each of the EZ ACCESS wheelchair or scooter ramps have their own advantages. The charts below are a partial listing of product features. Click on the wheelchair or scooter ramp name to get more information about that product. Feel free to call Vitality Medical at 1-800-397-5899 or e-mail us at support@vitalitymedical.com if the website doesn’t all of your questions.

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What are the differences between EZ Acces Trifold Advantage Series ramps?

* The Advantage Series ramps can be separated into two sections and carried individually. Total weight listed in parentheses.

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Which wheelchair or scooter ramp should I get?

The right wheelchair or scooter ramp depends on the conditions in which the ramp is used. For outside ramps, a heavy duty, aluminum ramp is a good choice because they are weather-resistant and sturdy. For ramps meant to be used with vans or ramps meant to be used in places that require varying length, use a telescoping wheelchair ramp. Telescoping wheelchair ramps are adjustable in length, although there weight capacity is slightly less than other wheelchair or scooter ramps. Another option for wheelchair ramps that must be moved constantly is a suitcase wheelchair ramp. These modular wheelchair ramps fold up into one or two suitcase-like packages that can be carried easily with an included handle. In some situations a full wheelchair ramp may be too much. Doorways, raised landings and sliding glass doors can all benefit from a threshold wheelchair ramp. These ramps are made of durable aluminum or rubber, and despite their small size, can hold up to 600 lbs.

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Sources

EZ ACCESS (Homecare Products Inc.)

Copyright © VitalityMedical.com – All Rights Reserved.