Clinical Insights
Practical, evidence-informed guidance on support surfaces, pressure injury prevention and 24-hour positioning for Canadian care teams.
Who Should Be Considered for a Powered Support Surface?
The clinical considerations that may prompt assessment for a powered support surface — who to assess, what each function does, and what to bring to an in-service.
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Heat, Moisture and Skin: The Case for Low Air Loss
Heat and moisture at the skin–surface interface can add to pressure-injury risk. What low air loss does, and the two clinical pictures in which the 2026 International Guideline suggests it — heat or moisture at the skin, and an existing Stage 2–4 or unstageable pressure injury — for Canadian long-term-care teams.
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The International Pressure Injury Guideline in 2026: Practical Lessons for Canadian Care
Five practical lessons from the current fourth-edition chapters on support surfaces, repositioning and seating — read for Canadian long-term care and community practice, with the evidence limits stated.
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When Seating Isn't Enough
Seating assessment addresses only the hours a person spends seated. Why lying posture care belongs in every positioning plan — in LTC, community practice, pediatrics and adult complex care.
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When Foam Isn't Enough
Foam is the right foundation for most residents — and it has limits. When immobility, moisture or stalled healing enters the picture, escalation becomes a clinical decision.
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When the Wound Isn't Healing
An existing pressure injury is not healing despite an individualized plan. A practical guide to reviewing repositioning and the wider plan, and to recognizing when a change of support surface should be considered.
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Support Surface Selection Guide for Clinicians
The full decision framework for LTC clinicians — selection criteria by pressure injury stage and risk level, from foam to powered alternating-pressure and low air loss surfaces.
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