This is the most common question I get. It’s a good question. After all, that’s what it’s made for. The short answer is; Of course it does. That is why so many people have bought it. Because it works.
The long answer is; The Backbone is a really good tool. But cushions don’t stop pressure ulcers, caregivers do. It is well proven that consistent turning and repositioning works to reduce pressure injury incidence and prevalence. And the Backbone works better to support a 30 degree lateral side turned position than any other cushion out there.
But as one of my wound care nurse colleagues always says “It won’t work when its sitting on the window sill”. The fundamentals of pressure injury prevention have not changed. We have to provide frequent pressure reduction, frequent moisture control, support nutrition and hydration, and protect and treat the skin. If these things are not done correctly, at risk people will get pressure ulcers. If they are done correctly, they usually will not.
Nothing is going to prevent pressure injuries without the hard work of the caregivers. If you (or your caregivers) are putting in the hard work to stop pressure ulcers, you should use the tools made for the job. You would not ask your handyman to hammer in a nail with a screwdriver, so why would you ask yourself or your caregivers to position with simple pillows?
There are thousands of people who have used the Backbone cushion with wonderful results. It’s certainly not the only cushion made for this purpose, but it’s the only one designed for ergonomic alignment and conforming comfort, stability and of course, best possible pressure reduction.
So give The BackBone™ a try. Like so many people taking care of people, you’ll be happy with the results. Gwen Jewell, Clinical Nurse II, BSN, CWS
Despite 20 something straight years of improvement, pressure injuries are back on the rise in the US. The Agency for Healthcare Quality and Research reported that between 2014-2017, Hospital Acquired Pressure Injury rates actually increased by 6%, making pressure injuries the only “never event” hospital acquired condition that went up (3) The other thing that is up is the cost (no real surprise there). To the tune of 26 Billion dollars a year (2).
What is happening? Well I know everyone is going to spend the next 5 years of careful study to try to answer that question.But we don’t have to look far to see the perfect storm we are in. First we have an exponential increase in high risk populations; The elderly, diabetes, cardiovascular disease, kidney disease, obesity, and neurological illness and injury to name a few. Second, there is a dilution of caregiver time.
Even in hospitals that have minimum staffing ratio’s incidence rates are going up because the caregivers are spending less time at the bedside, and more time at the computer. Caregivers are now only charting that they have turned and repositioned and done their skin checks. I am confident that you will find The BackBone™ the most effective, stable and comfortable 30-degree lateral support cushion on the market. And if you don’t agree, send it back! I will give you your money back.
You have a responsibility to your patients, your facility and your practice to do best practice to prevent harm. Be truthful about the fiscal impact of advanced mattress surfaces, caregiver, workers comp lift injuries and of course pressure injuries to be part of your budget equation. Don’t catch yourself saying you had to spend even one $10 thousand dollar extended length of stay day because you wouldn’t spring for a $150 dollar cushion!
1. Source: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014-2017 2. Padula, WV, Delarmente, BA. The national cost of hospital‐acquired pressure injuries in the United States. Int Wound J. 2019; 16: 634– 640. https://doi.org/10.1111/iwj.13071