Name of the Procedure:

Synthetic Sheepskin Pad
Common Name: Synthetic Sheepskin Pad
Technical/Medical Term: HCPCS Procedure E0188

Summary

A synthetic sheepskin pad is a medical accessory designed to provide comfort and protection for patients who are bedridden or have limited mobility. It mimics natural sheepskin to reduce pressure and prevent sores.

Purpose

Synthetic sheepskin pads are used to alleviate discomfort and to protect the skin from pressure ulcers (bedsores), which can occur in patients who spend extended periods in bed or in wheelchairs. The primary goal is to prevent these painful and potentially serious skin conditions by redistributing weight and minimizing friction and moisture.

Indications

• Patients at risk for pressure ulcers, such as those with limited mobility or who are bedridden.
• Individuals recovering from surgery, illnesses, or injuries that limit movement.
• Elderly patients who may be more susceptible to skin breakdown and bedsores.

Preparation

No special preparation is required for using a synthetic sheepskin pad. However, caregivers should ensure that the pad is clean and properly positioned to maximize its effect.

Procedure Description

1. Assess the patient's skin condition and risk factors for pressure sores.
2. Place the synthetic sheepskin pad on the bed, wheelchair, or chair where the patient spends most of their time.
3. Ensure that the pad is flat and without wrinkles to avoid any additional pressure points.
4. Regularly check and clean the pad as part of routine patient care, and adjust its position as needed to protect different areas of the skin.

Duration

The synthetic sheepskin pad is used continuously as long as the patient remains at risk for pressure ulcers.

Setting

• Location: Home care settings, hospitals, nursing homes, and outpatient clinics.

Personnel

The synthetic sheepskin pad can be managed by various healthcare professionals including:

• Nurses
• Caregivers
• Occupational and physical therapists

Risks and Complications

• Minimal risks; however, improper use (e.g., not adjusting pad position) can diminish effectiveness.
• Skin irritation or allergic reaction to synthetic materials, although this is rare.

Benefits

• Reduces risk of pressure ulcers.
• Improves patient comfort by evenly distributing weight and minimizing friction.
• Can see immediate improvement in comfort; pressure ulcer prevention is a long-term benefit.

Recovery

No specific recovery period is associated with the use of a synthetic sheepskin pad. However, continuous assessment and preventive care are necessary to ensure skin integrity.

Alternatives

• Alternative: Natural sheepskin pads
  Pros: More natural feel and sometimes better moisture-wicking properties.
  Cons: More expensive, may cause allergies for some patients.
• Alternative: Gel or foam pressure-relieving mattresses and cushions
  Pros: Specifically designed for pressure ulcer prevention.
  Cons: May be bulkier and more expensive.

Patient Experience

• During Use: Patients might feel increased comfort and a reduction in pressure discomfort.
• After Initial Use: Patients may notice fewer skin issues like redness or sores.
• Pain Management: Typically, no pain is associated with the use of synthetic sheepskin pads. Comfort measures involve maintaining cleanliness and pad positioning. Regular repositioning and skin inspection remain crucial for optimal outcomes.