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5
2. Clinical Applications
Indications
The
Alpha Trancell
Deluxe systems are indicated for the prevention
and/or management of pressure ulcers, when combined with an
individualised, comprehensive pressure ulcer protocol: for
example, repositioning, nutritional support, skin care. Selection
should be based upon a holistic assessment of the patient’s
individual care needs.
These systems represent one aspect of a pressure ulcer
management protocol; all other aspects of care should be
considered by the prescribing clinician.
If existing wounds do not improve or the patient's condition changes
the overall therapy regimen should be reviewed by the prescribing
clinician.
The above are guidelines only and should not replace clinical
judgement.
Alpha PREVENT
Indicated for prevention and/or management of pressure ulcers up
to category 2
1
. Maximum patient weight 90 kg.
Alpha Trancell Deluxe/
Trancell II
Indicated for prevention and/or management of all categories of
pressure ulcer. Maximum patient weight 120 kg.
Alpha Trancell Deluxe
Seat Cushion
Indicated for prevention and/or management of all categories of
pressure ulcer for patients weighing between 40 to 90 kg.
Contraindications
Do not use these systems for patients with unstable spinal
fractures.
Cautions
If patients have other unstable fractures, or conditions which may
be complicated by a soft or moving surface, advice should be
sought from an appropriate clinician before use.
While these systems have been designed to manage patients up to
the weight limits indicated above, those approaching this upper limit
are likely to have additional care and mobility needs and may be
better suited to a specialist bariatric system.
Active therapy (alternating) cushions may be unsuitable for patients
with poor sitting posture or pelvic deformity; advice from a seating
specialist should be sought.
Care of the patient
when sitting
Seated patients are at increased risk of pressure ulcers particularly
if they are immobile or have wounds over the seating area. For
optimal outcome, provide a pressure redistributing seat cushion in
a chair which promotes a good sitting posture and has a level base
seat to support the cushion, in addition to an individualised
repositioning programme.
1. NPUAP/EPUAP International Pressure Ulcer Guideline, 2014.
NOTE
Mattress and cushion combinations may have different upper weight limits. Cushions should be
used in combination with pressure-redistributing mattresses to provide 24-hour therapy.
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