Name of the Procedure:

Nonpowered Advanced Pressure Reducing Overlay for Mattress, Standard Mattress Length and Width (HCPCS Code: E0371)

• Common name(s): Pressure-relief mattress overlay, non-powered overlay
• Technical/medical terms: Advanced pressure reducing support surface, static overlay

Summary

A nonpowered advanced pressure reducing overlay is a specialized mattress pad designed to be placed on top of a standard mattress. It helps to distribute weight more evenly and reduce pressure on various parts of the body, which can help prevent pressure sores and improve comfort for bedridden or immobilized patients.

Purpose

• Medical conditions: Helps to prevent and manage pressure ulcers (bed sores), particularly in patients who are bedridden or have limited mobility.
• Goals: To reduce pressure points, improve blood circulation, and enhance overall comfort for patients, potentially leading to quicker recovery times and reduced risk of complications from prolonged immobility.

Indications

• Symptoms/Conditions: Patients at risk of developing pressure ulcers, such as those with limited mobility, spinal cord injuries, severe debilitation, or those who are bedridden for extended periods.
• Patient Criteria: Appropriate for patients who require long-term bed rest and have a higher risk of skin breakdown.

Preparation

• No special preparation, fasting, or medication adjustments are generally required.
• Ensure that the patient's underlying medical conditions are stable and that any necessary diagnostic tests have been completed to evaluate the risk of pressure sores.

Procedure Description

1. Selection: Choose a nonpowered advanced pressure reducing overlay of standard mattress length and width appropriate for the patient.
2. Placement: Remove existing bedding and place the overlay directly on top of the standard mattress.
3. Adjustment: Align and secure the overlay so it remains in place.
4. Monitoring: Regular assessment of the patient’s skin and repositioning as needed to ensure even weight distribution.

• Tools/Equipment: Nonpowered advanced pressure reducing mattress overlay.
• Anesthesia/Sedation: Not applicable.

Duration

The procedure typically takes 15-30 minutes, including preparation and placement.

Setting

Can be performed in various settings including hospitals, long-term care facilities, hospices, and at home.

Personnel

• Healthcare Professionals Involved: Nurses, caregivers, or medical technicians typically perform the placement and monitoring of the overlay.

Risks and Complications

• Common Risks: Minor discomfort during initial placement.
• Rare Risks: Skin irritation or allergic reaction to materials in the overlay, improper placement leading to incomplete pressure relief.
• Management: Regular skin assessments and adjusting overlay as needed.

Benefits

• Expected Benefits: Improved comfort and reduced risk of pressure ulcers. Benefits are usually realized shortly after placement, with continued monitoring and adjustment enhancing effectiveness.

Recovery

• Post-Procedure Care: Regular monitoring of the patient's skin condition and repositioning at regular intervals.
• Expected Recovery Time: Varies based on the patient's overall condition but regular use can lead to significant improvements in preventing pressure sores.
• Restrictions: None specific to the overlay, but patients may need to follow other mobility or health-related guidelines.
• Follow-up: Routine follow-ups to assess skin condition and overall effectiveness of the overlay.

Alternatives

• Other Options: Powered pressure-relief mattresses, air mattresses, gel-filled overlays, and foam mattresses.
• Pros and Cons:
  • Powered options may offer better customization and effectiveness but require electrical power and maintenance.
  • Gel-filled overlays can provide similar benefits but may be more expensive.

Patient Experience

• During Procedure: Minimal discomfort during the placement process.
• After Procedure: Increased comfort when lying in bed, better sleep quality potentially. Regular repositioning might be required, which healthcare staff or caregivers will manage.
• Pain Management and Comfort: Generally, the overlay itself does not cause pain and aims to improve comfort; any discomfort should be reported to a healthcare provider. Regular comfort assessments are needed to ensure effectiveness.