Bed sore biomechanics : proceedings of a seminar on tissue viability and clinical applications organised in association with the Department of Biomedical Engineering, the Institute of Orthopaedics (University of London), Royal National Orthopaedic Hospita

Front Matter....Pages i-xxvi Opening Remarks and Welcome to Participants....Pages 1-2 Front Matter....Pages 3-3 The Causation and Prevention of Bed Sores....Pages 5-9 Pressure on the Patient....Pages 11-17 Pressure Sores-the Problem....Pages 19-23 Biomechanical Concepts and Effects....Pages 25-30 Back Matter....Pages 31-35 Front Matter....Pages 37-37 The Microanatomy of the Epidermis in Relation to Trauma....Pages 39-46 Some Factors Affecting Skin and Wound Healing....Pages 47-54 The Pathogenesis of Skin Wounds Due to Pressure....Pages 55-62 Microvascular Function at Reduced Flow Rates....Pages 63-68 The Effect Of Pressure Loading on the Blood Flow Rate in Human Skin....Pages 69-77 Microcirculatory Reactions to Controlled Tissue Ischaemia and Temperature: a Vital Microscopic Study on the Hamster’s Cheek Pouch....Pages 79-82 Optical Assessment of Skin Blood Content and Oxygenation....Pages 83-93 Effects and Characteristics of Cushion Covering Membranes....Pages 95-102 Mechanical Properties of TheHuman Skin in Vivo For SmallDeformations; A Comparisonof Uniaxial Strain and Torsion Measurements....Pages 103-108 Variations With Age In The Mechanical Properties of Human Skin in Vivo....Pages 109-117 Back Matter....Pages 119-123 Front Matter....Pages 125-125 Preventive Aspects of Geriatric Medicine....Pages 127-132 Preventionp of Pressure Sores: Monitoring Mobility and Assessment of Clinical Condition....Pages 133-139 Underpads in the Prevention of Decubiti....Pages 141-145 Hospital Accommodation for Paraplegics....Pages 147-152 The Prevention and Treatment of Pressure Sores....Pages 153-159 Back Matter....Pages 177-179 Front Matter....Pages 125-125 Clinical Aspects of Bed Sore Prevention and Treatment....Pages 161-164 The Use of Chemically Dried Air in the Treatment of Chronic Ulcers....Pages 165-167 The Incorporation of Trypsin-Purified Dermal Collagen Allografts Into Cutaneous Wounds in the Rat....Pages 169-176 Back Matter....Pages 177-179 Front Matter....Pages 181-181 Patient Monitoring....Pages 183-184 Temperature and Humidity in the Sitting Area....Pages 185-188 Interface Pressure Sensors: Existing Devices, Their Suitability And Limitations....Pages 189-197 A New Multi-Channel Non-Invasive Pulse Profile Recording System....Pages 199-205 A Pressure Warning System for Patients With Insensitive Feet to Avoid Ulceration....Pages 207-209 The Comfort of the Hospital Bed....Pages 211-217 The Development of Pressure Sores During Hospitalisation....Pages 219-224 A Technique for Monitoring Body Movements During Sleep....Pages 225-233 Suspension Seating....Pages 235-241 The Effect of the Diabetic Ulcer on the Load-Bearing Function of the Foot....Pages 243-247 Back Matter....Pages 249-256 Front Matter....Pages 257-257 Air Support Systems for the Prevention of Bed Sores....Pages 259-267 Problems of Patient Support: the Air Fluidised Bed as a Solution....Pages 269-275 Sand Bed Nursing....Pages 277-285 Static and Dynamic Support Systems-Pressure Differences on the Body....Pages 287-299 Experience at Rancho Los Amigos Hospital With Devices and Techniques to Prevent Pressure Sores....Pages 301-310 Mobile and Static Support Systems....Pages 311-314 The Problems of Clinical Trials with New Systems for Preventing or Healing Decubiti....Pages 315-320 Back Matter....Pages 337-341 Front Matter....Pages 257-257 Economic Aspects of Unconventional Beds and Support Surfaces....Pages 321-326 A Novel Support System for Unstable Spines....Pages 327-336 Back Matter....Pages 337-341 Front Matter....Pages 343-344 Clinical Aspects of Prevention, Therapy and Cost Effectiveness....Pages 345-347 Identification of Controlling Parameters....Pages 349-350 Patient Management with Specific Reference to Nursing Techniques....Pages 351-353 Back Matter....Pages 355-357