S - SKIN INTEGRITY
Use a support surface with advanced pressure-redistributing properties, compared with a standard hospital foam mattress, to minimize peak pressure areas around bony prominences and protect soft tissue from bruising and injury. (PU-ONF 2013, p.101; Level C)
Select a reactive support surface for individuals who can be positioned without weight-bearing on a pressure injury and without bottoming out on the support surface. (PU-ONF 2013, p.101; Level C)
Select an active support surface if the individual cannot be positioned without pressure on a pressure injury, when a reactive support surface bottoms out, if there is no evidence of pressure injury healing or if new pressure injuries develop. (PU-ONF 2013, p.101; Level C)
Re-evaluate the suitability of the support surface for pressure injury prevention and treatment at least every 4 years and sooner if the individual’s medical condition changes. (PU-ONF 2013, p.102, Level C)
Select smooth, low-friction, breathable fabrics for bedding and clothing to optimize microclimate control and minimize friction. (PU-ONF 2013, p.103; Level C)