DME

Blog posts of '2015' 'September'

Relieve Plantar Fasciitis Night and Day with Proven Results

Recurring foot pain caused by plantar fasciitis can limit mobility and make even walking a painful task. The typical approach to reducing this inflammation pain is to stay off your feet, but there are better solutions. Clinical studies show that when a night splint is used with Accommodator insoles, patients see faster recovery and significant heel pain relief.1 

Plantar fasciitis is defined as painful inflammation of the plantar fascia. The plantar fascia is the thick band of tissue running across the bottom of the foot that connects the heel to the toes. Plantar fasciitis causes sharp, stabbing pain that is usually the worst first thing in the morning when first stepping out of bed. 

The Accommodator insole supports the arch so it cannot collapse or "flatten" during normal daytime standing, walking or running. When the arch collapses, the faciae, which tie the forefoot to the heel, are stretched, aggravating the plantar fasciitis pain. The FREEDOM Plantar Fasciitis Night Splint helps reduce severe heel pain by stretching the plantar fascia, foot and calf muscles that relax while sleeping, so patients are able to get out of bed with less pain. . The combination of a night splint and these insoles not only reduces pain, but also helps resolve the plantar fasciitis.

[1] The Prospective Evaluation of Invasive and Noninvasive Treatment Protocols for Plantar Fasciitis. Awbrey BJ, Bernardone JJ, Connolly TJ. Rehabilitation R&D Progress Reports. The Use of Night Splints for Treatment of Recalcitrant Plantar Fasciitis. Wapner KL, Sharkey PF. Foot Ankle; 12(3): 135-6.

 

Low trunk tone, especially in younger children, creates huge issues in being able to perform functional activities.  The weight of the head is such that many are unable to even sit unsupported let alone begin to enjoy function and their surrounding environment.

  Safe Spine  Safe Spine

TLSO’s have been around for a long time however the single biggest issue has always been around comfort for the user.  Whilst functionally they perform well, if a product is not comfortable then the user simply refuses to wear it and all benefit is lost.

 The Restorative Medical Safe Spine is made of softer more conforming materials making it comfortable to wear unlike a moulded thermoplastic device.  It is easy to don and doff and the materials wick moisture from the skin keeping the user cool.

The Safe Spine is suitable to be worn all day however many users choose to wear it just when performing activities where additional trunk support is desirable.  Places/ times when this works well include; using a corner seat, using a standing frame, using a walking frame, in a car seat, horse riding, cycling to name just a few.

By using the Safe Spine to support the torso you are then able to use less lateral brackets and bracing, and less carer hands on support.  Supporting the torso independently, and providing gentle spinal extension allows the user greater energy to use arms, hands and practise independent head control.

 

Safe Spine

 

Safe Spine’s can be customised to the individual user with cut outs for feeding tubes and custom heights and widths to suit individual shapes and sizes. 

To find out more about the Safe Spine, or to arrange a trial please contact us.

The Environmental Impact Report
Author - Andy O’Sullivan

The paradigm shift in society to give greater individual choices in our lives is mirrored in the care setting.

This change in the equipment we use to assist in enabling more access to the life around those in a care setting has introduced changed physical forces to what we have traditionally dealt with.

The advent of three and four section electric beds; recliners; Tilt and Recline wheelchairs; and other technologies has delivered a great deal more “living and lifestyle” for persons with disabilities or age related loss of function. Television and computers are accessible, interacting with those around you, being eye to eye with life. No longer the bed bound, body wasting patient of yesteryear.

Whilst medicine and science have played a significant part in prolonging life, it would mean little if we were not given the opportunity to continue to “live” life.

This has been, perhaps, the greatest shift in caring of the modern era. The ability to live your life with the abilities you have.

This entitlement to living your life as richly as possible has put new demands on the support surfaces that are required to give those we care for the safety and security that will enable them to do just that.

As an example - If we just look at the bed surface and the use of the elevated bed head, then we see that products and solutions for supine lying may not be enough when the tangential forces of friction and shear are added to the pressure.

Before the advent of this enabling technology if you had pressure issues you would be nursed flat, turned regularly and had skin tension reliefs often by onsite staff. Enter the new technology and cost/care models and the picture blurs somewhat. Yet we still see mattress manufacturers focus on the single dimensional forces and talk about average pressures.

The Environmental Impact Report© (EIR©) is a document that sets out to give a structured process to the evaluation of environmental influencing factors with relations to pressure care.

The EIR© deals only with the extrinsic forces and should not be used simply by itself but sits alongside the use of pressure care assessment scales such as Waterlow (http://www.judy-waterlow.co.uk) and Braden (http://www.bradenscale.com) which deal more with the intrinsic aspects of pressure care.

Based on this and our own experience we decided that we would allow for a framework where independent solutions are to be found that were not dictated by a previous clinical bias or technology solution simply because it was available or had history in the site or facility.

 

Impact Report

 

Report

Report

 

 Click here to view the full report Environmental Impact Report

 

 

If you are uncomfortable in bed your sleep will be compromised. 

We use 24 hour positioning to ensure we do not fall into dangerous postures during the many hours spent in bed.  Whilst the benefits of proper positioning during sleep are well documented this must not be done at the compromise of comfort, there has to be a happy medium that increases positioning but in a way that is manageable, comfortable and safe for both the user and caregiver.

Sleep systems that are too rigid and unforgiving will often be left unused if bedtime becomes a struggle between user and caregiver, where the user simply does not want to be strapped into a hard, unforgiving surface for hours – and why would they?

 

 

Snoooooze

 

Compliance is the number #1 issue with Sleep Systems and the main reason they become unused is “comfort”.  Either the user is not comfortable in the system or the caregiver is not “comfortable” with putting the user into the system.

Snooooooze has changed all that!  The Snooooooze Flexible Sleep System was designed in conjunction with Caregivers, End Users and Therapists to come up with a system that is functional, supportive and comfortable.

Each flexible component is made with a mix of chipped memory foam contained in an outer Dartex cover.  The memory foam conforms to body contours and is soft and comfortable in bed.  The Dartex cover is also soft and is easy to wipe down and keep clean.

The Snooooooze System is modular and you choose the pieces/shapes you need to support your individually required positioning.  A little or a lot, the choice is yours.

 

 

Snoooooze Snoooooze

 

For more information please click here.