Name of the Procedure:

Common Name: Powered Pressure Reducing Mattress Overlay/Pad, Alternating, with Pump
Technical Term: HCPCS Code E0181

Summary

A powered pressure reducing mattress overlay/pad is a medical device designed to prevent and treat pressure ulcers. It uses an alternating pressure system with a pump to inflate and deflate air cells, redistributing the patient's weight and reducing pressure on any single point of the body.

Purpose

This device is used primarily to address and prevent pressure ulcers (bedsores) that can develop in patients who are bedridden or have limited mobility. The goals are to enhance patient comfort, promote circulation, and prevent tissue damage.

Indications

• Patients with existing pressure ulcers or those at high risk of developing them.
• Individuals with limited mobility due to conditions such as spinal cord injury, severe arthritis, or post-operative recovery.
• Severe weakening of the body or prolonged bed rest due to chronic illnesses.

Preparation

• Ensure the patient understands the purpose and function of the mattress overlay/pad.
• The bed or sleeping area should be clean and clear of any objects or hazards.
• No specific fasting or medication adjustments are usually required.
• Assess the patient’s skin condition and document any existing pressure ulcers.

Procedure Description

1. Setup the Pump: Place the pump unit at the foot or head of the bed, depending on the model.
2. Attach the Overlay/Pad: Spread the mattress overlay/pad evenly over the bed mattress and secure it with provided straps or ties.
3. Connection: Connect the air hoses from the mattress overlay/pad to the pump unit.
4. Initial Inflation: Turn on the pump unit to inflate the air cells in the mattress overlay/pad.
5. Adjust Settings: Adjust the pressure settings according to the patient’s weight and comfort level as per manufacturer’s guidelines.
6. Monitoring: Regularly check the system for proper function and ensure there are no leaks or malfunctions.

Tools, Equipment, or Technology Used:

• Powered pressure reducing mattress overlay/pad
• Electric pump unit
• Air hose connectors

Anesthesia or Sedation Details:

• Not applicable

Duration

Setup and initial inflation typically take about 30 minutes. The device operates continuously once installed.

Setting

The procedure is typically performed at the patient’s bedside in a hospital, nursing home, or at home.

Personnel

• Registered Nurse (RN) or Licensed Practical Nurse (LPN) for setup and instructional guidance.
• Healthcare aide or caregiver for daily monitoring and maintenance.

Risks and Complications

• Equipment malfunction leading to inadequate pressure relief.
• Air leaks from the mattress overlay/pad.
• Patient discomfort due to improper pressure settings.
• Potential for increased pain if not properly maintained.

Benefits

• Effective prevention and treatment of pressure ulcers.
• Improved patient comfort and circulation.
• Reduced need for frequent repositioning.
• Benefits can be felt immediately in terms of comfort and are noticeable in pressure ulcer management within days or weeks, depending on severity.

Recovery

• No specific recovery is needed as it is a supportive device.
• Regular skin assessments by healthcare staff are recommended.
• Ensure the patient follows any additional care instructions such as changing positions regularly.

Alternatives

• Static pressure relieving mattresses or pads.
• Gel or foam mattress overlays.

• Frequent manual repositioning by caregivers.

  Pros and Cons of Alternatives:

• Static Pressure Relieving Devices: Less complex and no need for power, but may not provide as effective pressure relief.
• Gel/Foam Overlays: Easier to maintain, but may not distribute pressure as effectively.
• Manual Repositioning: Simple and inexpensive but labor-intensive and relies heavily on diligent caregiving.

Patient Experience

• During Procedure: Minimal discomfort as it primarily involves setting up a bed overlay.
• After Procedure: Improved comfort while lying in bed. Some may experience initial unfamiliarity with the mattress' alternating pressure.
• Pain Management: Not typically needed, but monitor for any discomfort and adjust settings accordingly to enhance comfort.