Heel Up Pressure Relief Cushion for Heels - Max

Teresa Rocha, Tissue Viability Clinical Nurse Specialist, The Royal Marsden Hospital NHS

“We have been using Heel Up for the past 3 months and successfully reduced acquired pressure damage to zero! It is not only how we managed to prevent pressure acquired damage but also how patients feel about the product. Our patient cohorts are very complex, as they’ve either undergone a lengthy procedure (>15hours surgery) with consequent prolonged stay in critical care, palliative and end-of-life units often presenting lymphorrhea. We also see paediatric and young adults, among others, all requiring a high level of care, prevention and management. The Heel Up has put together in one product, all characteristics we were hoping: patient comfort, absorbent material (avoiding moisture acquired damage) and controlling damage acquired on lymphoedema patients, easy to use, single patient use – approved by Infection Control Team, can be used with Flowtron Therapy, extremely cost-effective, excellent customer service with company who kindly provided training and support to our hospitals. So far we’ve been very happy with the range and are not looking to change to another product any time soon.”

Allaina Eden, Physiotherapy Service Lead for Critical Care, Papworth Hospital

“We have used a number of Heel Up within ICU, with the physio and nursing staff all reporting positive feedback. They are easy to use, and our Tissue Viability team are much happier with the surface cover compared with other products. We’ve had no issues with skin integrity when using the Heel Up®. We have tended to use the medium and large sizes finding these the most appropriate for our patients.”

Delilah Rooney, Tissue Viability Specialist Nurse, University Hospital Bristol

In August 2018, University Hospital Bristol undertook a trial of the Heel Up offloading boot. We were looking for a cost-effective product that effectively offloaded heels in line with NICE guidance for those patients who are high risk or already have sustained ulceration. “The Heel Up range was well received by the wards that we trialled it on. They are made of soft white material which patients commented was preferable to the non-disposable plastic alternatives. During the trial those patients who used the Heel Up did not develop new pressure damage, and those who had damage present either improved or remained stable. The product was felt to be easy to use, and we were well supported with all our education/resource needs. Overall, we felt this was a clinically acceptable cost effective solution, and we were happy to begin the process of adding it to the equipment we use in our trust.”

Pressure Relief Cushions - What You Need to Know

1. What are pressure relief cushions?

Pressure relief cushions are specially designed products that help reduce or redistribute pressure on certain areas of the body, particularly those that are prone to pressure sores, also known as pressure ulcers or bedsores. These cushions are often used by individuals who have limited mobility, are bedridden, or spend extended periods sitting in one position.

2. Who can benefit from using pressure relief cushions?

Pressure relief cushions are beneficial for a wide range of individuals, including:

• Podiatrists and Orthotists: Patients who require offloading of pressure on the heels or other parts of the foot to prevent ulcers.
• Physiotherapists: Patients recovering from surgeries or injuries that require long periods of immobility.
• Salon Owners and Beauty Therapists: Clients who require comfort and pressure relief during treatments.
• Doctors and Nurses: Patients in hospitals or care homes who are bedridden.
• Individuals with Chronic Conditions: Those with diabetes, vascular disease, or conditions that cause reduced mobility.
• Caregivers: Providing comfort and pressure relief to individuals under their care, such as the elderly or those with disabilities.

3. How do pressure relief cushions work?

Pressure relief cushions work by distributing body weight more evenly across the surface, thereby reducing pressure on specific high-risk areas. For example, a heel protector cushion, like the Heel-Up Heel Protector, elevates the heel off the bed or chair, reducing direct pressure and enhancing comfort. The cushions are often made from materials like foam, gel, or air cells, which can conform to the body's shape and provide optimal support.

4. What types of pressure relief cushions are available?

There are various types of pressure relief cushions designed for different parts of the body, including:

• Heel Cushions: Specifically designed to offload pressure from the heels, often used by patients who are bedridden or have foot ulcers.
• Seat Cushions: Used to relieve pressure when sitting for extended periods, ideal for wheelchair users or those who sit for long periods at work.
• Mattress Overlays: Large cushions or overlays placed on top of mattresses to prevent pressure sores on the back, hips, and other areas.
• Cushion Pads: Versatile cushions that can be used under different body parts, such as the elbows or head, to prevent sores.

5. How should I choose the right pressure relief cushion?

Choosing the right pressure relief cushion depends on several factors, including:

• Affected Area: Determine which part of the body needs pressure relief—heel, seat, back, or another area.
• Material: Different materials provide varying levels of support. Gel cushions offer cooling properties, while foam cushions provide firm support.
• Usage Duration: Consider how long the cushion will be used each day. Cushions designed for extended use often feature more advanced pressure distribution technology.
• Mobility: For individuals with limited mobility, cushions that can be easily repositioned or adjusted are ideal.

Consulting with a healthcare professional, such as a podiatrist or physiotherapist, can help in selecting the most suitable cushion based on individual needs.

6. How do I use a heel protector cushion correctly?

Using a heel protector cushion correctly is crucial for effective pressure relief. Here’s how to do it:

• Positioning: Ensure the cushion is placed under the heel in such a way that the heel is completely offloaded from the surface. The Heel-Up Heel Protector, for instance, should lift the heel so that it does not come into contact with the bed or chair.
• Check Fit: The cushion should fit snugly around the heel, but not so tightly that it restricts blood flow.
• Reposition Regularly: If possible, reposition the patient or the cushion regularly to ensure consistent pressure relief.
• Inspect Skin: Regularly inspect the skin for signs of pressure sores, redness, or irritation.

7. How often should pressure relief cushions be replaced?

The lifespan of a pressure relief cushion depends on its material and frequency of use. Typically, high-quality cushions can last several months to a year with regular use. However, it’s important to monitor the cushion for signs of wear and tear, such as:

• Loss of Shape: If the cushion no longer retains its original shape, it may not be providing adequate support.
• Material Breakdown: If the material shows signs of breakdown, such as thinning or lumping, it’s time to replace the cushion.
• Odours or Stains: Persistent odours or stains, despite cleaning, indicate that the cushion should be replaced for hygiene reasons.

Regularly replacing cushions ensures that they continue to provide optimal pressure relief and prevent the development of pressure sores.

8. Can pressure relief cushions be cleaned?

Yes, most pressure relief cushions can be cleaned, but the method depends on the material:

• Foam Cushions: Generally, foam cushions have covers that can be removed and washed. The foam itself should not be submerged in water but can be spot cleaned with a mild detergent.
• Gel Cushions: Gel cushions often have a waterproof cover that can be wiped down with disinfectant.
• Levabo Heel Up Air Cushions: These can be wiped with a damp cloth and mild soap.

Always refer to the manufacturer’s cleaning instructions to ensure proper care without damaging the cushion.

9. Can pressure relief cushions prevent pressure sores completely?

While pressure relief cushions significantly reduce the risk of pressure sores, they are not a complete solution. They should be used as part of a comprehensive care plan that includes:

• Regular Repositioning: Changing positions frequently to relieve pressure on different areas of the body.
• Skin Care: Keeping the skin clean, dry, and well-moisturised.
• Nutrition and Hydration: Proper nutrition and hydration help maintain skin integrity and promote healing.
• Routine Inspections: Regularly checking the skin for early signs of pressure sores can prevent them from worsening.

For those at high risk, such as individuals with diabetes or vascular disease, consulting a healthcare professional for personalised advice is essential.

10. Where can I purchase pressure relief cushions?

Pressure relief cushions can be purchased from specialised healthcare suppliers, such as Algeos. Algeos offers a range of cushions, including the Heel-Up Heel Protector, designed specifically for heel offloading and pressure relief. It’s recommended to choose products from reputable suppliers to ensure quality and effectiveness.