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ADERMA

Dermal Pad

About

Pressure ulcers represent expensive adverse events and are a significant cause of pain and distress to patients.

It is estimated that between 4–10% of patients admitted to acute trusts will develop pressure ulcers, with the estimated cost of these pressure ulcers to the NHS being in the region of £1.4–£2.1bn per year1. This represents a significant cost burden in the UK, with costs increasing with ulcer severity.

ADERMA is designed to help prevent pressure ulcers. It is a range of dermal gel pads that redistribute pressure to protect critical areas2. It is typically used on bony areas to help prevent skin damage from pressure, most notably the heel and sacrum.

ADERMA dermal pads are an excellent addition to any care plan for at-risk patients and they can be washed and re-used by the same patient. More and more hospitals and primary care trusts are using ADERMA to help reach their targets of reducing the number of pressure ulcers in their area.

One study showed that ADERMA contributed to a reduction of almost 70% in the number of hospital acquired pressure ulcers when added to a care plan in an acute trust3. A reduction in pressure ulcer development was recorded across 6 residential homes over a 3 month period following SSKIN bundle education and the introduction of targeted use of ADERMA4.

References

1. Bennett G, Dealey C, Posnett J, (2004). The cost of pressure ulcers in the UK, Age and Ageing, Issue 33, p230-235.
2. Smith & Nephew Data on file report – DS/13/077/R (2013). Pressure redistribution testing of ADERMA. (in-vitro).
3. Wood S (2012). ADERMA dermal pads in the prevention of pressure ulcers. Wounds UK 8(4): 148–51.
4. Norris R (2014). Utilising the SSKIN bundle and ADERMA dermal pads in residential homes to improve the quality of care. Poster presented at EWMA, Madrid 2014.

Technology

High pressure points can disrupt the flow of blood and the supply of oxygen which can cause damage to the skin.

ADERMA works by helping to redistribute pressure over a larger area to reduce the peak pressure at any one point (usually a bony area like the heel or the sacrum). Instead, the force is spread over a larger area, reducing the average pressure on the skin.

ADERMA reduces peak pressure by up to 95% (in-vitro)1.

How ADERMA works diagram

 

 

References

1. Smith & Nephew Data on file report – DS/13/077/R (2013). Pressure redistribution testing of ADERMA.

Evidence

ADERMA dermal pads in the prevention of pressure ulcers1

When used as part of a care plan, ADERMA has been shown to reduce hospital acquired pressure ulcers (PUs) in one acute NHS Trust by almost 70% and contributed to a >40% decline in the overall number of PUs.

ADERMA PU Evidence

This evaluation was conducted over a three-month period and involved four wards (elderly, medicine, orthopaedics and general surgery) that historically had a high incidence of PUs. Over the course of the evaluation the hospital-acquired PU incidence was reduced to less than 1%.

The hospital estimated that this reduction in PUs resulted in savings of approximately £140,000 in PU treatment costs over a three-month period.

Utilising the SSKIN bundle and ADERMA dermal pads in residential homes to improve the quality of care2

A reduction in pressure ulcer development was recorded in the residential home care setting following SSKIN Bundle education and the introduction of targeted use of ADERMA dermal pads and PROSHIELD.

Across six residential homes a total of 42 PUs were recorded in the course of a 3-month baseline data collection period. There were a total three Category IV, eleven Category III and twenty-eight Category II PUs, all of which were deemed avoidable at the time.

In the 3-month comparator period following the educational initiative and introduction of ADERMA, a total of four pressure ulcers were recorded all of which were Category II and were classified as unavoidable.

PU Category Treatment cost per PU3 PU pre-project Associated Cost PU post-project Associated Cost Difference
I £1,214 0 £0 0 £0 £0
II £4,399 28 £123,172 4 £17,956 £105,576
III £7,233 11 £79,563 0 £0 £79,563
IV £8,783 3 £26,349 0 £0 £26,349
  TOTAL 42 £229,084 4 £17,956 £211,488

Treatment cost associated with PU pre and post-education2

ADERMA Heel Pads in the prevention of pressure ulcers in nursing homes4

ADERMA was used on 15 residents across 3 nursing homes, all with a Waterlow score over 15 (high risk) and existing grade 1 pressure damage to the heel.

All the treated heels improved and returned to a pre-injured state within weeks of commencing treatment.  The visual inspection of the skin showed a reduction in Erythema, whereas the ultrasound images showed that the skin condition improved below the surface as well.  The heels without ADERMA receiving standard care did not improve.

For copies of these papers, or for further clinical evidence on ADERMA, click here to get in touch with us.

References

1. Wood S (2012) ADERMA dermal pads in the prevention of pressure ulcers. Wounds UK 8(4): 148–51.
2. Norris R (2014) Utilising the SSKIN bundle and ADERMA dermal pads in residential homes to improve the quality of care. Poster presented at EWMA, Madrid 2014.
3. Dealey C et al., The cost of pressure ulcers in the United Kingdom. Journal of Wound Care 2012; 21 (6): 261-266.
4. Hampton S (2012) ADERMA Heel Pads in the prevention of pressure ulcers in nursing homes. Wounds UK 2012, Vol 8, No 4.

Application Guide

ADERMA is simple to apply - these images and videos show you how.

ADERMA Usage

ADERMA Application Guide

ADERMA Heel Application Video

ADERMA Strip Application Video

To watch other ADERMA application videos, click here to visit the Smith and Nephew UK and Ireland YouTube channel.

Ordering Information

ADERMA VariantSingles per CartonS&N CodeNHS CodePIP Code
Sheet 10 x 10 x 0.3cm
5
66801093 ELY373 328-3918
Sheet 10 x 10 x 1.2cm
5 66801094 ELY065 328-3934
Sheet 20 x 20 x 0.3cm 2 66801095 ELY371 328-3900
Sheet 20 x 20 x 1.2cm 2 66801096 ELY367 N/A
Strips 30 x 5.0 x 0.3cm
5 66801102 ELY372 328-3926
Strips 50 x 2.5 x 0.3cm 5 66801101 FES9551 365-5024
Heel Standard 2 66801097 FES7524 365-5032
Heel Standard 30 66801099 FES9552 N/A
Heel Extra Large
2 66801098 ELY366 365-5040
Sacrum/Ankle Wrap
1 66801100 FES7525 365-5057

OPSITE Flexifix Gentle is ideal for securing ADERMA, tubing or non-adhesive dressings to patients with fragile skin.

SizeSingles per CartonS&N CodeNHS CodePIP Code
2.5cm x 5m 1 66801195 ELY448 377-7430
5cm x 5m 1 66801196 ELY449 377-7448

For further information or guidance on using ADERMA in practice, click here to get in touch with us.

Education

There are a range of online learning modules to enable you to learn more about pressure ulcer prevention and ADERMA.

ADERMA Learning Module

Smith & Nephew have developed a Learning Module that provides a brief overview around pressure ulcers and how to prevent them. The module consists of 3 sections, each with 15-20 slides with a set of questions at the end, covering:

  • The pressure ulcer problem
  • Pressure ulcer prevention
  • ADERMA as part of a care plan

Click here to access these modules.

Global Wound Academy

Global Wound Academy is Smith & Nephew's online educational resource.  It features a module that focuses specifically on pressure ulcers and strategies for prevention (Module 6: Pressure Ulcers : A Guide To Prevention).

The module is designed to aid learning and take you step by step through the major concepts and ideas being discussed on this subject matter. The content is spilt into easy to digest sections with an optional quiz at the end to test your newly acquired knowledge.

Click here to access Global Wound Academy (registration will be necessary to complete the module).

Wounds UK E-Academy

Wounds UK and Smith & Nephew have developed an e-module on pressure ulcer prevention. This module aims to help clinicians understand and implement pressure ulcer prevention strategies by explaining:

  • The problems pressure ulcers cause and why prevention is important
  • The causes of pressure ulcers
  • Current guidelines and initiatives for pressure ulcer prevention
  • How to develop a pressure ulcer prevention plan
  • The role of simple technologies in pressure ulcer prevention.

Click here to access the e-module.

This module has been supported by an unrestricted educational grant from Smith & Nephew.

Patients

Smith & Nephew is providing information in this site for general educational use only, and does not intend for this to be construed as medical advice or used as a substitute for the advice of your physician. For questions or concerns about a previous or upcoming surgery, Smith & Nephew recommends that you contact your healthcare professional.