Pacific Supply Co. Ltd.

New Business Development Division

This time we are happy to introduce you with In-bed Systems - Immedia SatinSheet. Unlike the slide sheet, which is generally prepared when needed, the “In-bed” system is always in place on the patient's bed. The advantage is that the sheet does not need to be laid down or removed each time the patient is transferred. To ensure a safe working environment, it is important to be able to use equipment smoothly.

For more information on the impact of In-bed systems on both patients and caregivers, please visit our pacific news page [Japanese Only] Introducing Immedia SatinSheet

Advantages of Using Assistive Devices

Increased mobility reduces risk of pressure injury
When a person’s general health status is degraded they often become less mobile and spend more time in bed than before. Impaired mobility is the primary confounding factor associated with pressure injuries, which make micro and macro movements of great importance to prevent pain and pressure injuries. 

Stimulation of functional mobility
Micro and macro movements help prevent pressure and shear. This is an important part of the care since pressure ulcers represent a major burden of sickness and reduced quality of life for the patient; including chronic wound, pain and discomfort, stress, anxiety and depression (EPUAP 2019).
Today we are also aware of how important it is to prevent immobility and take advantage of the users abilities during moving and handling to maintain both functional mobility and the feeling of dignity and independence.

Reduction of work-related injuries
30% of carers in hospitals and care homes experience so much musculoskeletal pain that it impairs their ability to work, but using assistive devices for transfers reduces the risk of musculoskeletal disorders among healthcare workers.
A cross-sectional study at five Danish hospitals measured back muscle activity and trunk inclination angle during 540 patient transfers. Using assistive devices for transfers reduces the physical workload and thereby decreases the risk of musculoskeletal disorders among healthcare workers (Vinstrup 2019).

Single-handed care
Communication and focus will be maintained between the carer and the user, which benefits the collaboration.

A Person's Level of Functional Mobility

The International Classification of Functioning, Disability and Health (ICF) is a universal classification published by the World Health Organization (WHO) to provide a standard language and framework for describing health and disability (WHO 2001). "Mobility" is a category under the components "Activities and Participation" and is relevant to determine when choosing the best solution for an in-bed system. The level of the problem is listed from 0 (No Difficulty) to 4 (Complete Difficulty) in ICF. LOCOmotion (Knibbe & Knibbe) from The Netherlands developed the MK5 concept and the associated assessment tool TilThermometer almost 20 years ago(*1).

Below you find a description of the five levels of functional mobility, and Etac will refer to these levels throughout this guide when suggesting appropriate product choices.  

※1 : www.tilthermometer.com  

Immedia SatinSheet

Immedia SatinSheet is a complete In-bed system of low friction satin designed to make moving and handling in bed easier when turning and positioning independent (A) to completely dependent users (E). 

Facilitates care for independent to dependent users
The SatinSheet material is very thin and consists of a low friction satin BaseSheet, which makes repositioning easier and reduces the risk of friction and hereby shear, which minimises the risk of pressure injury.
A combination with DrawSheets meet the needs of the partly dependent to completely dependent user and helps reducing strain on the carer and therefore prevents work-related injuries.

As the sheets stay in the bed, they enhance comfort for the user and facilitate positioning, transferring or turning a user. Moreover, it may help to save time and reduce the number of carers needed.

Immedia SatinSheet combinations
See below to understand how the SatinSheet BaseSheet and DrawSheet work, and how they can be combined to find the best solution for the user and the carer. 
The SatinSheet BaseSheet can be used on its own by the independent user, who needs a low friction area for turning and repositioning in bed. The SatinSheet DrawSheet is chosen for additional low friction and for a more ergonomic grip for the carer, when assisting dependent users in moving and handling in bed.

SatinSheet BaseSheet

Start with a BaseSheet that is fitted directly to the mattress. The BaseSheet has a low friction sliding satin area in the centre, allowing independent side to side movement. Lengthways the BaseSheet has high friction edges to minimize the risk of sliding off the bed.

SatinSheet 2Direction DrawSheet

Add the 2Direction DrawSheet for a partly dependent user who needs assistance with side to side movement. The DrawSheets are designed to be used on top of the BaseSheet. They do not work on their own.

SatinSheet 4Direction DrawSheet

Add the 4Direction DrawSheet for a dependent user who needs assistance moving in all directions. The DrawSheets are designed to be used on top of the BaseSheet. They do not work on their own.

Information and explanation of this article are generated from Immedia In-bed System Booklet.