Although traditionally case study evidence is considered weak, a great deal of information can be conveyed that would be lost in a more controlled type of study 30 this is particularly important in the specialist environment.
Evaluation of an alternating pressure support surface for burn treatment (Mathews J 2003)
- A 50 year old man with 30% full thickness burns following an industrial explosion was hospitalized for 2 months.
- The patient was nursed on a low air loss therapy system and discharged home using a Nimbus 3 system.
- The patient preferred the Nimbus 3 system to previous support surfaces, as it was more comfortable and promoted healing.
Use of the Nimbus 3 mattress in a patient with severe burns: A case study (Vrijdagh H et al 2001)
- A 28 year old man with 41% burns following a house fire with a full thickness burn injury on his back and severe inhalation injury resulting in Acute Respiratory Distress Syndrome (ARDS) was nursed on the Nimbus 3 system.
- Nursing and physiotherapy staff preferred the Nimbus 3 system, as there was increased patient access.
- The patient healed and was discharged after 48 days.
Specialty support surface selection for hospitalized obese patients (Manriques N 2004)
- A Contoura® 1080 bed frame (ArjoHuntleigh) was used with a Nimbus 3 alternating MR. It was found to be highly acceptable to both patients and nursing staff.
- Cost was significantly lower than using integrated systems with a $48,000 saving noted, combined with an increase in the quality of care.
AUTO logic system clinical outcome study (Henn G et al 2004)
- 7 patients, all weighing in excess of 100 kg were nursed on either the AUTO logic 110 overlay or AUTO logic 200 MR.
- 1 patient had existing grade 2 pressure damage.
- No patient developed tissue damage and the patient with an existing pressure ulcer healed.
NIMBUS logic 200 system prospective case studies (Data on file, 2004)
- An amputee patient weighing 116 kg was admitted with two grade 2 pressure ulcers and proximal Deep Vein Thrombosis (DVT).
- The patient was nursed on the NIMBUS logic 200 system for 6 days, during which time the sacral ulcer healed while no further deterioration of the heel ulcer was noted.
SPINAL CORD INJURY
Back to basics – Simple measures resolve a complex wound: Pressure off-loading and honey
(Ashton J et al 2006)
- A 64 year old female with spinal cord injuries with an infected sacral pressure ulcer, unhealed for 3 months.
- The patient was placed on a Nimbus 3 Professional with complete off loading and simple honey dressings.
- Wound made rapid progress towards complete closure.
Management of pressure with an alternating pressure relieving support surface (Doubleman J 2000)
- A patient with Spinal Cord Injuries (SCI) stabilized with a halo device was placed on a Nimbus 3 system.
- The patient sustained no pressure injuries whilst on the Nimbus 3 system, despite being unable to reposition independently.