Clinical Applications; Indications; Contraindications; Cautions - Arjohuntleigh Nimbus 4 Mode D'emploi

2. Clinical Applications

Indications The Nimbus 4 and Nimbus Professional systems are

Contraindications

Cautions If patients have other unstable fractures, or conditions
Care of the patient
when sitting

Mattress and cushion combinations may have different upper weight limits.

Cushions should be used in combination with pressure-redistributing
mattresses to provide 24-hour therapy.
1. NPUAP/EPUAP International Pressure Ulcer Guideline, 2009.
indicated for the prevention and/or management of all
1
categories of pressure ulcer, when combined with an
individualised, comprehensive pressure ulcer protocol:
for example, repositioning, nutritional support, skin
care. Selection should be based upon a holistic
assessment of the patient's individual care needs.
These systems represent one aspect of a pressure ulcer
management protocol; all other aspects of care should be
considered by the prescribing clinician.
If existing wounds do not improve or the patient's
condition changes the overall therapy regimen should be
reviewed by the prescribing clinician.
The above are guidelines only and should not replace
clinical judgement.
The Nimbus 4 and Nimbus Professional mattress is
designed for patients weighing up to 250 kg (550 lb).
Do not use Nimbus 4 and Nimbus Professional systems
for patients with unstable spinal fractures.
which may be complicated by a soft or moving surface,
advice should be sought from an appropriate clinician
before use.
While the Nimbus 4 and Nimbus Professional systems
have been designed to manage patients up to the weight
limits indicated above, those approaching this upper
limit are likely to have additional care and mobility
needs and may be better suited to a specialist bariatric
system.
Active therapy (alternating) cushions may be unsuitable
for patients with poor sitting posture or pelvic
deformity; advice from a seating specialist should be
sought.
Seated patients are at increased risk of pressure ulcers
particularly if they are immobile or have wounds over
the seating area. For optimal outcome, provide a
pressure redistributing seat cushion in a chair which
promotes a good sitting posture and has a level base seat
to support the cushion, in addition to an individual
repositioning programme.
5