Arjo - Decades experience in pressure injury prevention

Pressure injuries (also known as pressure ulcers), are characterised by localised injury to the skin or underlying tissue, usually over a bony prominence as a result of pressure, or pressure in combination with shear. They are a major global healthcare problem, most frequently affecting frail patients with reduced mobility and complex, underlying chronic conditions. However, pressure injuries may also develop in young, previously fit and well individuals, such as those with major trauma or disability.

Despite advances in surface technologies, education, guidelines and facility-based continuous improvement programmes, pressure injury prevalence and incidence remains high in many care settings. Such injuries not only have a significant impact on the patient and their cares but are also associated with increased costs to healthcare facilities, and are generally considered avoidable if pressure, shear, time and microclimate are effectively managed.

Pressure injury prevention begins with the identification of those individuals at risk - as early as possible in the care pathway - and requires prompt action to provide the correct intervention, which may include early mobilisation or the provision of a specialist therapy support surface.

Two distinct, generic types of support surface have been defined, based upon the primary mode of action: reactive support surfaces, whereby the magnitude of the applied pressure is minimised; and active or alternating pressure surfaces, where there is periodic removal of pressure through the cyclical inflation and deflation of air cells within the mattress.

Michael Clark, director of the Welsh Wound Network, states that, "Alternatingpressure patient support surfaces have been a long-established, integral part of pressure ulcer prevention and management. Ongoing developments in alternating-pressure surfaces will help to maintain today's dominant role for these devices in healthcare, and so help to reduce the experience of pressure ulcers for many thousands of patients."

"Alternating-pressure patient support surfaces have been a long-established, integral part of pressure ulcer prevention and management. Ongoing developments in alternating-pressure surfaces will help to maintain today's dominant role for these devices."
Michael Clark, Welsh Wound Network

Around the clock care for high-risk patients

The principal design goal of alternating mattress systems is to mimic the protective effect of spontaneous or assisted repositioning, by periodically reducing tissue contact with the support surface to a level that is as low as is practically achievable for as long as possible.

This action ensures reperfusion of the tissues even if the patient does not move. The physiological benefits of active alternating therapy often make this the modality of choice for some of the most vulnerable patients, including those who cannot be regularly repositioned manually.

The Auralis has been developed from a long heritage of proven alternating pressure systems from Arjo. Auralis is the first pressure injury prevention system to offer full Skin IQ integration for microclimate management.

Designed for high-acuity patients with limited mobility and compromised skin integrity, the Auralis is a dual-modality system, offering active (alternating) or reactive (constant low pressure) therapy to effectively manage pressure injury prevention, depending on the needs of the patient.

The Auralis incorporates Arjo's latest technology in active therapy surfaces to deliver comfort for the patient via full Skin IQ microclimate management compatibility and adjustable comfort pressure features; intelligent delivery of alternating or continuous low pressure using Arjo's Self Set Technology. It supports a plug-and-play set-up, with reduced need for manual adjustments to the system and around-theclock prevention, using a combination of Auralis's dual modality mattress (overlay or replacement) and alternating cushion options. Therapy is uninterrupted thanks to an integral battery backup as standard, ensuring hours of continuous therapy in the event that power to the system is halted.

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