ACL 2.0
The person is able to sit up for longer periods and have a moderate / low risk of developing pressure sores. Carers will need to monitor and observe for pressure sores and use appropriate pressure relieving devices.
Common pressure relieving devices are:
- Pressure care mattresses with alternating air pressure.
- Medical grade sheep skin sheet or heel protectors for bony prominences.
- Bed cradles to prevent heavy blankets causing unnecessary pressure.
- Seating pressure care cushions such as Jay2 and Roho cushions. Consult a seating specialist for other options.
Pressure sores are graded as:
- Grade I – skin discolouration, usually red, blue, purple or black.
- Grade II – some skin loss or damage involving the top-most skin layers.
- Grade III – necrosis (death) or damage to the skin patch, limited to the skin layers.
- Grade IV – necrosis (death) or damage to the skin patch and underlying structures, such as tendon, joint or bone.
ACL 2.2
The ability to walk with assistance means that the person is at low risk of developing pressure sores. Ensure adequate pressure care by careful observations of their skin integrity. Treat pressure sores with appropriate pressure relieving methods such as regular repositioning and use of pressure relieving devices.
ACL 2.4
The ability to transfer off various surfaces at will, reduces the risk of pressure sores.
Carers are still required to check for pressure sores due to poor fitting shoes and other high risk areas.