Name of the Procedure:

Dry Pressure Mattress (Medicare HCPCS Code: E0184) Common Name: Dry Pressure Mattress
Technical Term: Pressure Reduction Mattress for the Prevention of Ulcers

Summary

A Dry Pressure Mattress is a specialized medical device designed to reduce pressure points that can cause bed sores (pressure ulcers). Unlike air-inflated mattresses, it uses dry materials and advanced construction techniques to distribute body weight evenly and reduce the risk of bed sores.

Purpose

The primary purpose of a Dry Pressure Mattress is to prevent and manage pressure ulcers in patients who are bedridden or have limited mobility. The goals are to enhance comfort, improve the quality of life, and prevent the complications associated with pressure sores, such as infections.

Indications

• Patients with limited mobility or who are bedridden for extended periods
• Individuals recovering from surgery or severe illness
• Patients with conditions that impair circulation or sensation, making them more prone to pressure ulcers
• Elderly patients with fragile skin

Preparation

• No specific fasting or medication adjustments are generally required.
• A healthcare provider may conduct a physical assessment to determine the patient’s pressure ulcer risk.
• Ensure bed linens and the patient's skin are clean and dry before using the mattress.

Procedure Description

1. Setup: The Dry Pressure Mattress is placed directly on the patient's bed frame, ensuring it is secure and level.
2. Positioning: The patient is gently transferred onto the mattress, ensuring even distribution of their body weight.
3. Adjustments: The mattress settings may be adjusted as per patient requirements and comfort, following specific manufacturer instructions.
4. Monitoring: Regular checks are performed by healthcare providers to ensure the mattress remains effective and the patient’s skin is in good condition.

Tools and Equipment: Dry Pressure Mattress, bed frame, and standard bedding supplies.

Anesthesia or Sedation: Not applicable.

Duration

The setup process is quick and typically takes about 15-30 minutes. The patient remains on the mattress as long as required by their medical condition, which could be continuously over days, weeks, or longer.

Setting

Dry Pressure Mattresses are used in various settings including:

• Hospitals
• Nursing Homes
• Home Care

Personnel

• Nurses
• Healthcare Aides
• Physical Therapists (for initial assessment and follow-up)

Risks and Complications

• Very low risk but potential complications could include:
  • Allergic reactions to mattress materials
  • Inadequate pressure relief if the mattress is not used properly
  • Skin irritation or moisture build-up

Benefits

• Reduces the risk of developing pressure ulcers
• Enhances patient comfort and support
• Can be used indefinitely, as long as necessary
• Improves overall skin health

Recovery

• Post-procedure care includes regular turning and repositioning of the patient to prevent pressure buildup.
• Monitoring and skin assessments are conducted frequently.
• Recovery from pressure ulcers typically involves continuous use of the mattress, routine hygiene, and potentially wound care treatments.

Alternatives

• Air-inflated alternating pressure mattresses
• Gel or foam mattresses
• Rotating beds

Pros and Cons of Alternatives:

• Air-inflated mattresses provide dynamic pressure reduction but can be noisy.
• Gel or foam mattresses are passive and may not provide as much pressure relief but are often more affordable.

Patient Experience

• The patient will generally find the Dry Pressure Mattress comfortable and supportive.
• There might be some initial adjustment period as the patient gets used to the feel of the mattress.
• Comfort measures include regular skin checks, repositioning, and ensuring the mattress remains clean and dry.