References
Managing fire risk in housebound people who smoke and require air-alternating pressure-relieving equipment
Abstract
Air-alternating pressure mattresses are advised for housebound patients with poor mobility and at risk of developing pressure ulcers. However, those patients who smoke are under significant dangers of fire risks, especially as the pump to provide alternating pressure requires oxygen. This article describes the development and introduction of a comprehensive risk assessment to help guide community nurses' discussions with any patient on their caseload who smokes and also requires air alternative mattresses. A questionnaire was developed by the Task and Finish Group comprising of nurses from the community and tissue viability teams, members from South Yorkshire Fire and Rescue and a trust fire officer. This questionnaire was developed to guide clinicians when discussing the problem of smoking and the risk of fire with patients, their families and general practitioners. The questionnaire was shared with all teams who visited patients at home, who met the criteria to promote its use. Further work is planned to audit the use of this questionnaire and to ascertain how it can help the decision-making process when discussing risks with this vulnerable and at-risk group of patients.
The incidence rates of comorbidities such as pressure ulcers, which result in mobility issues and weight loss, increase with an aging population. A pressure ulcer has been defined as localised damage to the skin and its underlying tissue caused by pressure and shearing forces (Clinical Practice Guidelines, 1993). The cost of treating a pressure ulcer can vary from £1214–14 108, depending on wound severity and its associated complications, thus representing a significant burden to the NHS and social care services (Dealey et al, 2012). Pressure ulcers can affect one in 20 community patients (McGinnis et al, 2014) and are associated with poor health-related quality of life, such as the exudate and odour from a wound and its effects on function (Gorecki et al, 2009). Two factors can contribute to the development of pressure ulcers: poor mobility and lying in bed for prolonged periods of time (Lindgren et al, 2004).
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