Prolonged sitting could be an occupational hazard (chained to office desk) or it could be due to existing morbidity. However, in both cases, it degrades metabolic profiling of the body with high levels of triglycerides, low levels of HDL cholesterol and decreased insulin sensitivity. One of the physical impact would be more pressure sores in areas of high weight stress accounting for back pains, hip pains, difficulty in walking due to increased weight (obesity) and in turn, affecting overall health.
Prolonged sitting should be avoided by taking appropriate breaks during work while adding moderate to intense exercise regimen in your daily schedule. The posture of sitting is also essential for better spinal care and overall health status. C3I Gel Technology offers numerous products that can be added to your normal schedule to reduce physical impact of prolonged sitting on associated body parts (in terms of pressure sores). It includes
Back Rest (to provide support to your spine while sitting for hours); Seat Cushions (Work place chairs with such gel seat cushions prevents pressure impact on hips); Car Seat Cushions (it reduced random pressure impact on long drives); Garden Mats (it reduces impact on knee while sitting in gardens working for many hours) and; Toilet Seat Cushions (it reduces pressure impact of toilet seat on fragile skin of old people). Leisure time occupies more sitting especially besides pools, add Pool Chair Cushions to your lifestyle to reduce physical impact of such sitting on the body. Shower Chair Gel Cushions provides cushioning and comfort while taking bath. It is essential to understand such lifestyle products add artificial cushioning to your lifestyle preventing pressure build up on various body parts, however does not provide any solution to the impact on metabolic profiling for which moderate to intense exercise schedules along with diet/ weight management is recommended.
The prolonged pressure on the skin due to continued pressure on the bony areas covered with skin like hips, ankles, heels and tail bones. It has been observed in morbid or old patients with limited movement ability (bound to wheel chairs); comatose / semi-comatose bed ridden states; occupational involving long sitting hours; fracture/ injury induced limitation of movement; tail bone deformity (coccyx) and repeated stressful states like long drives.
Tender, painful, firm, soft unbroken skin, light color skin blanch (lightens briefly) & darker skin discolored
Shallow pinkish wound with progressive loss of outer and inner layer of skin (might be fluid filled blisters)
Crater like ulcers with loss of skin exposing fat (yellowish dead tissues)
Exposure of muscle, bones and tendons with bottom of wound with dead tissue loss
The primary cause of pressure sore is ‘Continued pressure on bony skin site’ leads to ‘reduced blood flow to capillaries’ thereby limiting essential nutrient supply to site of sore.
Sustained pressure to the site like spine, tailbone, shoulder blades, hips, heels and elbows lead to such bed sores. Friction induced injuries to fragile skin areas in case of morbid patient handling or old people improper care. Shear forces due to wrong alignment of any bony area with proper cushioning support might lead to pressure sores.
It has been observed that with age skin regeneration becomes less and if the person is diseased with any lifestyle disorder limiting its movement, condition worsens. Paralytic states, recommendation for complete bed rest; post-surgery recovery; sedation or coma; lack of sensory perception (neurological state) led unawareness to change of state; weight loss or muscle atrophy; poor nutrition and hydration; excess moist or dry skin; bowel problems; medical conditions affecting blood flow; smoking; limited alertness and; muscle spasms.
Complications of pressure ulcers include sepsis (bacterial load to body circulation through broken skin); cellulitis (infection of skin); bone and joint infections (septic arthritis or osteomyelitis) and; cancers (non-healing wounds).
Check for size; depth; bleeding; odor; area around wound is infected or not and dead tissue. Blood tests to check your health, tissue culture to diagnose bacterial infections or cancerous growth. Please consider: when pressure sore first appear or whether it is in the past, degree of pain, routine for changing positions, normal daily diet and water / other fluids intake.
Stage I and Stage II bed sores can be treated by conservative care of wound and appropriate care, might take six to eight months. Stage III and IV are difficult to treat. Reposition yourself on wheelchair in every 15 min and those confined to bed should be repositioned every 2 hour (use positional aligners in operation theatres). Use support surfaces (compare air-fill, water-fill, foam and gel technology) for preventive care.
(a) Cleaning of wounds and application of dressings (b) removal of damaged tissue by surgical or mechanical removal, autolytic (enzymatic induction to breakdown tissue) or external enzyme application (c) pain management using specific interventions(d) Antibiotics applications (oral and external application) (e) Healthy diet routine (f) Management of bowel and urinary incontinence (g) Relief care for muscle spasms (h) Vacuum assisted closure of clean wound. A pressure sore that fails to heal may require surgery to prevent cancerous growth.
Tailbone or buttocks; Shoulder spades and spine; Backs of arms and legs where they rest against the chair
Shift your weight frequently for every 15 min; Lift yourself if upper body part is not morbid; Use specialty wheelchair allows you to tilt them and; select a gel cushion to relieve pressure.
Chillax Wheel Chair Cushions/ Pads; Mattresses Gel Overlays; Massage Creams; Body Butters
Back of sides of bed; Rim of the ears; Shoulder or shoulder blades; Hip, lower back or tail bone; Heels, skin behind knees & ankles
Gel Foam Pillows to protect bony areas, relieve pressure between knees and ankles or float your heels
Positioners for Comatose patients and persons under surgery.
Mattresses Gel Overlays; Patient Positioning Devices
Surgical positioning especially during prolonged surgery is an important task preventing any pressure or illicit physiological response. Prone positions post anaesthesia for longer durations is linked with pressure applied and its applied time (it is advisable to provide intermediate release of pressure); body physiology and age compatibility along with damage incurred by pressure, shear and frictional impact also make patient vulnerable. It cause multiple pressure sores at various sites. Proper patient positioning on the operating table padded with organogel padding is essential to allow optimal surgical exposure and to prevent neuromuscular injuries. Dependent portions at risk for compression injury on body parts i.e., eyes/ ears; penis/ scortum; breasts; fingers and; pendulous injury (table related injury).
There are numerous surgical positions and their relative impact differs in terms of body part affected. Some of these are:
Imagine a person who is not allowed to turn or change his / her position, the body parts received continuous compressions on skin and underlying tissues both from the surface on which person is lying from one side while bony part from other side. If such pressure is not relieved or removed, it leads to pressure sores due to lack of oxygen and nutrients in this area. The bony prominences are prone to significant damage like head, shoulders, elbows, sacrum, hips, buttocks, knees and heels. To redistribute the pressure evenly a cushioned surface with extreme elastomerism is essential to manage the elements of shear, friction and pressure on the site. It may starts building up with in less than two hours, however age and health status of the patient is a determining factor. An estimate revealed that in more than 20% of prolonged surgery cases, the probability of such pressure sores is inevitable. Such occurrence is both cost intensive in terms of longer recovery time and in some cases, it is a medico-legal issue too. Thus, this is priority area to have skills to manage such unwanted stress and the measure is only prevention of occurrence of such ulcers by artificially cushioned them with contoured organic C3I gel technology based MedigelTM positioning devices.
During various operative states, numerous positions are required and such immobilised body parts require positional devices with no negative pressure induction wherein C3I Gel Technology plays a critical role. As compared to rubber, latex, foam, silicone and any other product line, C3I Gel offers complete elastomerism along with cushioning and comfort, such that no pressure is induced on any aligned or relieved body parts supported during such prone positions.
Single phase able to contour as well as cushioning along with elastomerism makes it an ideal system for pressure redistribution. This is not possible in two phase system as available in other commercial variants.
C3I Gel Technology is organic in nature with artificial cushioning, comfort able to contoured into any desired shape and inert ideal for operation theatre needs. The other commercial variants like foam and silicone gel combination doesn't fulfil this criterion.
It can be cut into desired shapes if need be as it closed cell structure and thus doesn't leak unlike other technologies. Jelly based gel system encapsulated cannot be cut as per the requirement and do leak.
If you touch it, it felt like soft skin and being developed from oils, provide specific pressure dispersion. Inert unlike others - as silicone with some chances of irritation.
Elastomerism and Cushioning both allows complete pressure redistribution. As there is no film, this pressure distribution is not hindered.
SOPs laid down by ASTs are being complied by C3I gel based OT Positioning Devices. A sample kit is provided with Acceptance Test Procedures to ensure quality of material supplied.