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 Release 21.0, Jan 2008
 
Chapter : ch21. Dermatology Section : Pressure Ulceration
  Pressure/Shear Factor (PSF) of Fontaine et al

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Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

Fontaine et al developed the pressure/shear factor (PSF) to compare pressure and shear forces on a skin surface using different support surfaces. This can help select the support surface that is optimum for a patient. The authors are from the RIK Medical in Boulder, Colorado.

 

Basis: Both vertical pressure and shear forces can contribute to wound development by restricting blood flow and causing tissue breakdown.

 

Parameters:

(1) pressure in mm Hg

(2) shear force in grams

 

PSF =

= ROUND(pressure in mm Hg) + (4 * ROUND(shear force))

 

When comparing 2 support surfaces, the surface with the lower PSF would be less likely to cause tissue injury.

 

  References:

Fontaine R, Risley S, Castellino R. A quantitative analysis of pressure and shear in the effectiveness of support surfaces. J WOCN. 1998; 25: 233-239.

 

 

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