Most places cannot differentiate between an air mattress and an air overlay, much less what type of air mattress - alternating pressure, lateral rotation, low air loss, etc. that is actually needed based on the actual stage of the wound.

They don't understand why it's not ok to use the cheapest skin care products, products that are not pH balanced for an elderly person's skin. They have staff bringing in skincare products in little backpacks because someone let them run out of good products. What they bring in is bought locally and is not appropriate for skincare in a healthcare facility.

They don't understand why double-padding is not ok. They're using baby powder which dries out the skin. Their Dietary Manager or Registered Dietician does not understand optimal use of nutritional supplements...other than house shake.

Most facilities avoid the use of negative pressure (wound vacs) due to cost not realizing that the cost of continuing to have that wound is much, much more.

In fact, most places I've seen do not even have a turn schedule in place to ensure residents are being turned to relieve the pressure.

There is much education needed in the nursing home industry, but not many people who are actually qualified to give it.

However, I'm trying! :o)