Support Surface Selection

The following should be taken into consideration when selecting a support surface:

• Fit with the overall care plan and the person’s goals of treatment
• The person’s functional mobility and level of activity
• The need for microclimate control (i.e., the ability of the surface to control moisture from draining wounds, sweat, and incontinence)
• The ability to control the temperature of the support surface
• The linens and pads used on the support surface, and management of shear (the use of multiple layers should be avoided; fabric texture can affect pressure management during transfers and repositioning)
• The lifespan, warranty, and maintenance required, and the need to reassess the support surface;
• The person’s size and weight
• The person’s preference, tolerance, and comfort
• The risk for new pressure injuries, and the severity, number, and location of existing pressure injuries
• The ease of use of the support surface by the person and the person’s primary caregiver(s)
• The availability and compatibility of the support surface with the health-care or home setting
• The financial cost and accessibility for the person