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ALL MY PATIENTS ARE UNDER THE BED SKIN
During the 2 years I was there we had less that a 1% skin breakdown in our patients. We used absorbent cloth pads with our patients and the turn Q2hr was strickly adhered to. When we lived in West Virginia, on my days off from the ER I sometimes filled in a the small community nursing home my husband worked at. a changed brief or pad does no good if the chemical from urine or feces remains-even if unseen on the skin. also the key to preventing skin breakdown and providing for comfort no matter what item you choose is to change the item frequently AND clean the pt. it leads to blisters since we all know when we lay down things fir better-and when we sit up they are tight(don't believe me put on tight jeans) on ambulatory pt it is preferable not to use briefs, but liners if possible. several rules to briefs.never use the bottom tabs on a nonambulatory pt. Camuti relates some of the veterinarian's cases, with observations about his patients and their owners in particular and the mystique of cat people in general.
In All My Patients are Under the Bed by Dr. 3 less layers,less wrinkles therby decreasing the changes to circulation and decreasing chance of skin breakdown. From Simon & Schuster, All My Patients are Under the Bed is Dr. the more layers the less effective the mattress. staff change 1 pad quicker to prevent the whole bed from being changed 2- the less between the pts and the air mattress the better. as a general guideline only wicking briefs when up and a cloth pad when down(one and only one for several reasons. but remember it is a chemical barriar vs a physical barriar like a & d ung.less is more. this is one of the most effective preventative measures i've seen. In theory, we could prevent all falls by restraining all patients. Camuti co-authored two books, Park Avenue Vet with Lloyd Alexander, published in 1962, and his autobiography, All My Patients Are Under The Bed: Memoirs of a Cat Doctor with Marilyn and Haskel Frankel, published in 1980. It may be tempting to leave patients in bed to prevent falls, but patients need to. it nuetralizes urine to protect the skin and releases a clove smell. He was the first veterinarian in the United States to devote his entire practice to cats.
also a layer of a smith and nephew product called clove protective ung is excellent we affectionately call it blue goo. and a underpad.if a person is incont of urine when up use wicking briefs that gel and nuetralize urine. if loose or alot of inconts use a&d or epc cream. if the pt has a cath and no loose stools.only use a draw sheet. I have worked in alot of different areas.
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