Protection for fragile skin from friction and associated shear damage. www.parafricta.com GARMENTS Available on FP10 prescription Preventing Skin Breakdown Parafricta® garments are designed specifically to reduce friction and associated shear, thereby reducing the potential for pressure ulcers and friction lesion development. They are compatible with, and should be used adjunctively with, methods for reducing the effects of pressure, e.g. pressure relieving mattresses and Repose® Foot Protector/Wedge. Parafricta® garments are lined with an innovative patented fabric which is smoother and much more durable than silk, thus reducing the burning, tearing and pulling effect on skin from movement against the support surface. “Consider using silk-like fabrics rather than cotton or cotton-blend fabrics to reduce shear and friction” EPUAP 20141 Patients benefiting from the use of Parafricta® garments include those at risk of pressure ulcers or skin damage e.g. with limited ability to reposition independently (such as in orthopaedic and neuromuscular conditions); with reddened skin; with repetitive movements and with fragile skin (such as following burns or at end of life). Parafricta® garments can also be used on patients with existing dressed wounds to aid retention of the wound dressing and hasten recovery. Bootee A comparison of polycotton and Parafricta® fabric surfaces under the microscope Undergarment Polycotton Parafricta Easy to Use Extensive research and product design ensures Parafricta meets clinical and patient needs to help reduce the incidence of pressure ulcers and friction lesions. • Easily applied • Easily removed to inspect ulcer or at-risk skin • Can be used with wound dressings and incontinence pads • Comfortable and breathable • Machine washable at up to 60oC and reusable. Hospital laundry up to 70oC for 10 minutes Demonstrated Clinical Effectiveness The Parafricta garments have repeatedly demonstrated clinical effectiveness since reduction in oedema and inflammation under the epidermis of patients’ heels wearing bootees was first demonstrated.2 A major study comparing cohorts of patients at risk of pressure ulcers (Waterlow score >15) that were and were not given Parafricta® garments, showed improved outcomes in terms of PU incidence, location, grading and outcome of ulcer on discharge and length of stay.3 A recently published report of the routine use of the bootees in than acute hospital setting reduced the incidence of grade 2 heel pressure ulcers by 78% and the ratio of grade 2 heel pressure ulcers to ulcers on other sites was reduced from 0.67 to 0.24.4 “The Committee recognises that Parafricta Bootees and Undergarments show potential to reduce the development and progression of skin damage caused by friction and shear in people with,or at risk of, pressure ulcers.” NICE 2014 5 16 fewer pressure ulcers per 100 at risk patients 21 more patients with existing pressure ulcers improve 3 78% reduction in hospital acquired grade 2 heel pressure ulcers over 2 years 4 Cost Savings Parafricta® garments offer great potential for cost benefits when used effectively, particularly since they are washable and reusable. The report of the NICE Medical Technologies Evaluation Programme noted that the number of days spent in hospital was several days shorter for the Parafricta treated cohort in the key clinical study.3 The health economic model developed therefrom estimates that the potential net saving per at risk patient per hospital stay is £595 (with a range of possible outcomes around the central estimate depending upon number of times each item is reused and other variables).5 In the community the savings will be associated with fewer Tissue Viability/District Nurse visits to treat ulcers. The health economic model estimated the net saving per at risk patient per year is £2510.5 CCGs withhold payments from providers failing to meet targets for reducing pressure ulcer incidence 6 Net saving to the NHS of over £75,000 in two years from just one site 4 Parafricta Bootees* The Bootees are designed to protect fragile skin the heel, foot and ankle against the damage caused by friction and associated shear. They can help to prevent the occurrence of, and aid the healing of, pressure ulcers and friction lesions. They are available in two styles: easy to slip-on and a hook & loop closure (which is suitable for patients with swollen or bandaged feet). Particularly useful for those at high risk of heel pressure ulcers associated with using the heel to reposition or with repetitive movements. Parafricta Undergarments* The Undergarments are designed to protect the sacrum, buttocks and hip areas against the damage caused by friction and associated shear. They can help to prevent the occurrence of, and aid in the healing of, pressure ulcers and friction lesions. Styles include easy slip-on briefs, boxer shorts and a hook & loop closure briefs for patients with limited mobility. Particularly useful for patients repeatedly sliding down the bed, chair or wheelchair. The boxer style may also help to prevent chafing (intertrigo). Ordering Details: *Available on FP10 Product Size PIP Code Product Code NHS Supply Chain Code Frontier Order Code Parafricta Bootee* Hook & Loop Closure X-Small 361-4005 PFFB-001XS FER12897 8000001 Small 361-4013 PFFB-001S FER12898 8000002 For swollen or bandaged feet Medium 361-4021 PFFB-001M FER12899 8000003 Large 361-4039 PFFB-001L FER12900 8000004 (Packed in singles) X-Large 361-4047 PFFB-001XL FER12901 8000005 Parafricta Bootee* Slip-on X-Small 361-3957 PFFB-002XS FER12902 8001001 Small 361-3965 PFFB-002S FER12903 8001002 (Packed in singles) Medium 361-3973 PFFB-002M FER12904 8001003 Large 361-3981 PFFB-002L FER12905 8001004 X-Large 361-3999 PFFB-002XL FER12906 8001005 Parafricta Undergarment* Hook & Loop Closure X-Small 361-3908 PFFUG-001XS FER12907 8100001 Small 361-3916 PFFUG-001S FER12908 8100002 Medium 361-3924 PFFUG-001M FER12909 8100003 (Packed in singles) Large 361-3932 PFFUG-001L FER12910 8100004 X-Large 361-3940 PFFUG-001XL FER12911 8100005 Parafricta Undergarment* Slip-on briefs X-Small 361-3809 PFFUG-002XS FER12912 8101001 Small 361-3817 PFFUG-002S FER12913 8101002 Medium 361-3825 PFFUG-002M FER12914 8101003 (Packed in singles) Large 361-3833 PFFUG-002L FER12915 8101004 X-Large 361-3841 PFFUG-002XL FER12916 8101005 Parafricta Undergarment* Slip-on boxers X-Small 361-3858 PFFUG-003XS FER12917 8102001 Small 361-3866 PFFUG-003S FER12918 8102002 Medium 361-3874 PFFUG-003M FER12919 8102003 (Packed in singles) Large 361-3882 PFFUG-003L FER12920 8102004 X-Large 361-3890 PFFUG-003XL FER12921 8102005 XX-Large n/a PFFUG-003XXL FER12922 8102006 Product description *All products listed with a PIP-code can be written on an FP10 prescription References: 1. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Australia; (2014) 2. Hampton, S., Young, S., Bree-Aslan, C. and Colburn A. “Parafricta fabric: Can it reduce the potential for pressure ulcer damage.” Journal of Community Nursing, 23(4), (2009) 28-31. 3. Smith, G. and Ingram, A. “Clinical and cost effectiveness evaluation of low friction and shear garments.” Journal of Wound Care 19(12) (2010) 535-42 4. Gleeson, D. “Pressure-ulcer reduction using low-friction fabric bootees.” British Journal of Nursing 24 (6) (2015) s26-s29 5. Parafricta Bootees and Undergarments to reduce skin breakdown in people with or at risk of pressure ulcers. National Institute for Health and Care Excellence Medical technology guidance [MTG20]: November 2014 6. NHS England (2014) “Commissioning for Quality and Innovation (CQUIN): 2014-15 guidance” Parafricta is a registered trade mark of APA Parafricta Limited. Patent numbers GB2403149 and EP1641420 (and other foreign patents and patents pending). Distributed in the UK by © July 2016 Frontier Therapeutics Limited. All rights reserved. GP0123_09_02 Frontier Medical Group Newbridge Road Industrial Estate, Blackwood, South Wales, NP12 2YN. Tel: +44(0)1495 235800 Email: [email protected] www.frontier-group.co.uk
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