Anti-decubitus mattresses – reimbursement and use in prevention

Prophylaxis against decubitus ulcers is an important and ongoing measure for long-lying, paralyzed and immobile patients. The problem of bedsores can affect seniors, disabled adults and children. Preventing bedsores is one of the most important activities when caring for bedridden patients and those undergoing rehabilitation after accidents or surgery. One of the most important parts of this process is to get a mattress against bedsores, for which reimbursement is available.

Action of anti-decubitus mattresses

The main principles of proper decubitus ulcer prevention include relieving pressure points on the body, proper nutrition and hydration, observing body hygiene, checking and monitoring skin conditions, education and cooperation with the care team.

Following the rules and using the right accessories allows wounds to heal faster and prevents new sores and further conditions. The basic accessories necessary for the prevention of bedsores are special mattresses that effectively help the patient and caregivers. There is a reimbursement for the anti-decubitus mattress, so those who take care of a recumbent patient can apply for financial assistance for its purchase.

Bedsores are caused by prolonged pressure on one spot and poor blood flow. Too little oxygenation of the tissues causes wounds in the shoulder, hip, elbow and heel areas. The use of the mattress, as part of prevention, prevents the appearance of bedsores through ventilation and proper blood supply to the areas of the body exposed to bedsores. The anti-decubitus mattress reduces the pressure of soft tissue on the bones, distributing it evenly by changing the support points. It helps keep the patient’s skin in good condition and prevents further complications.

Before use, it is good to put a classic sheet on the mattress, but it must not be a thick material. The mattresses can be easily cleaned, stored and moved. It should always be remembered that their use is only one of the prevention and treatment measures, and simply having them does not exempt caregivers from regularly repositioning the person lying down and following the other preventive rules. The available reimbursement of the anti-decubitus mattress 2022 will make it easier for you to purchase the equipment and improve your action with the patient.

Types and choice of bedsores mattress

The equipment provides relief to the patient and is an aid to the caregiver. There are two types of anti-decubitus mattresses – bubble and tubular. Both types are practical, durable and easy to use, but used in slightly different situations. The choice between the two depends on the patient’s condition, his weight and whether he is completely recumbent or gets up from time to time. In addition to mattresses, other accessories and equipment, such as decubitus pillows, uprighting chairs, and orthopedic beds, are used in prevention. All such products can be obtained through refunds or subsidies.

Prophylactic bubble mattresses are mainly used to counteract or during the occurrence of mild pressure sores of the first degree. They are designed for patients without much excess weight who are able to stand up periodically. Bubble mattresses are further divided into two subtypes. Blue ones are used for care lasting more than 3 months, intended for patients who spend most of the day in bed. Beige ones are helpful for short-term care, lasting less than 3 months, and are recommended for patients who can get up and sit more often.

Tubular mattresses, on the other hand, are used in long-term therapy when bedsores have been around for a long time or the patient is very overweight. They are recommended for patients who are immobile for long periods of time. Depending on the weight of the patient, three subtypes of tubular mattresses are used, such as low, elevated and high. For the anti-decubitus mattress, reimbursement provides financial assistance for the purchase of each type.

Anti-decubitus mattress – reimbursement from the National Health Fund

Like any other rehabilitation equipment, anti-decubitus mattresses are subject to subsidies. NHF reimbursement for the anti-decubitus mattress is available once every 3 years. However, if you have been declared severely disabled and the equipment is no longer useful, you can apply for accelerated purchase of new rehabilitation equipment. Reimbursement is available to patients who have suffered spinal cord injuries or are in a recumbent position for long periods.

To get a subsidy from the National Health Service, you need a referral from a general practitioner or a specialist, such as a surgeon, neurologist or orthopedist. The patient and his caregivers can choose the right and most suitable mattress for the person in need. The reimbursement amount is fixed and, depending on the NHF code of the medical device in question, is either 70% or 100% of the limit specified in the Ministry’s regulation. If you buy a high-end mattress, you will only pay extra from your own pocket about PLN 100. Due to the various changes in this area, when deciding whether to reimburse for a decubitus mattress, it is advisable to check the most up-to-date information and rules on the National Health Fund website.

Purchase of anti-decubitus mattress – reimbursement from other sources

Those less familiar with refunds can go to the Municipal Social Assistance Center – MOPS – for help. When using the reimbursement for a decubitus mattress, it is worth considering all other sources of financial assistance, not just the National Health Service. Its price can be even lower if you take advantage of funding from the District Family Assistance Center or the Municipal Social Assistance Center.

The family of a person with severely limited independence due to a chronic illness can apply for a loved one to be declared disabled. Patients with current severe disabilities can get a subsidy for a mattress against bedsores from the State Fund for Persons with Disabilities (PFRON). Once funding is obtained, the purchase of mattresses and other rehabilitation products is carried out at stores and medical facilities that have a contract with the National Health Service. All up-to-date information about reimbursement and subsidies for anti-decubitus equipment and accessories can be obtained by phone or online directly from the National Health Service, PFRON, MOPS and PCPR.