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Shoulders and Iliac Crest
Both the shoulders and the iliac crest bear much of the patient's weight, making them susceptible to skin
breakdown. Consider these precautions:
•
When prone, open as many back hatches of the RotoProne Therapy System as possible to help minimize
risk of skin breakdown and provide maximal lung expansion.
Always make sure hatches are closed and locked in position prior to rotating patient surface.
•
Adjust support padding, as needed.
Feet
Friction on the feet can also contribute to skin breakdown. Consider these precautions;
•
When supine, elevate heels off of therapy surface.
•
Continue using sequential compression devices (SCDs) during prone therapy if ordered by treating
physician.
Incontinence / Drainage
1. ArjoHuntleigh's Dri-Flo™ Breathable Underpads are recommended for incontinent patients to minimize
soiling of packs.
2. Disposable diapers or incontinent pads may be used.
3. Assess for incontinence or drainage regularly and provide appropriate skin care following each episode.
foot support
Use foot support boards to help prevent foot drop. Adjust boards to provide proper foot positioning:
•
Determine appropriate position for patient's feet.
•
Pull pin on top of board assembly.
•
Slide foot support board into appropriate position.
•
Release pin.
Do not remove both foot boards simultaneously, as patient may migrate downward. Instead
alternate placement of the foot support boards.
side-lying Head Position
When patient is lying in static prone or supine position, patient's head may be moved into a right or left
side-lying position.
Neck strain may occur if patient surface is rotated while patient's head is in side-lying
position.
4-6
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