Specialty support surfaces are mattresses or overlays that provide pressure reduction or pressure relief
When making a decision about which mattress/overlay would be appropriate for a client, the nurse must consider which of the following factors? Select all that apply. 1. Risk for skin breakdown
2. Presence of ulcers or wounds
3. Mobility status
4. Moisture and continence issues
5. Nutrition status
1. Risk for skin breakdown
2. Presence of ulcers or wounds
3. Mobility status
4. Moisture and continence issues
5. Nutrition status
Rationale: Risk for skin breakdown. High-risk clients for pressure ulcers, such as the frail and elderly, should be placed on a special support surface prophylactically. Presence of ulcers or wounds. If a client currently has pressure ulcers he or she should be placed on a special mattress to prevent progression of the current ulcers and formation of new ones. Mobility status. The client's level of mobility is a factor due to the increased risk of pressure ulcer development in clients who are unable or unwilling to move. Moisture and continence issues. Incontinent clients or clients who perspire excessively are at an increased risk for skin breakdown due to maceration. They need to be placed on a special mattress to prevent further breakdown from pressure. Nutrition status. Inadequate nutrition will increase the risk of skin breakdown. If a client is malnourished, it is an indication that he or she would benefit from a special mattress to help decrease skin breakdown.
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