The key nursing goal identified by EPUAP (European Pressure Ulcer Advisory Board), was namely to "protect against the adverse effects of external mechanical forces:

Pressure, friction and shear on skin

I have become aware of a new fabric, Parafricta, which offers unique protection against two of these, friction and shear, and is compatible with all existing methods of mitigating the effects of pressure, e.g. pressure reducing mattresses and beds.

Great Ormond Street, use the fabric on children with fragile skin due to Epidermolysis Bullosa, as well as hospices, nursing homes, and individual community based customers. Looking at the case study reports on the website www.parafricta.com results have confirmed that the garments and bedclothes prevent skin breakdown and progression to clinically detrimental pressure sores.

I have learnt that many chronic wounds are initiated by frictional shearing of compromised skin in cardiovascular compromised, diabetic or bed-confined patients. Friction often dislodges and "rucks up" wound dressings that are in place to treat an ulcer, as the patient moves about in the bed or chair. With most materials, static friction is greater than moving friction. This causes a jerk or "snatch" when one surface begins to move against another, which results in damage to skin or displacement of a dressing. Parafricta™ fabric can be used to avoid this effect. A significant feature of Parafricta™ fabrics is that the static and moving friction coefficients are equal.

Wound dressings are expensive to replace in terms of cost per dressing and time spent by nurses cleaning the adhesives from around the wound. Aggressive adhesives that would keep these dressings in place also have a downside: They cause shearing of the already weak skin and expansion of the existing wound trauma, thus creating the need for larger dressings and more adhesive to keep them in place.

What are your thoughts on a product that can do all this and is CE certified? Should it become part of pressure sore best practice? Would you be interested in a product like this that is aiming to improve the quality of life for pressure sore sufferers?