Positional Device for Essential Elevation of Upper Tors

We will design, manufacture, and test a prototype to assure 35 degree upper torso elevation foradults with severe brain injury or dementia. These adults are unable to maintain this medically-essentialbed position during enteral feedings. Assurance of this upright position reduces risk of formula aspirationand subsequent pneumonia secondary to gastroesophageal reflux. Unfortunately, no existing productor nursing measure currently employed meets the unique positional needs of this growing population ofend-users. In a recent four month experiment, significantly less aspiration and pneumonia occurredwhen a wedge-type product designed by researchers was used to maintain upper torso elevation. APhase I award will support technological resources to perfect and test a more serviceable, comfortable,safe, and user friendly product. The design will incorporate a pneumatic component and lateral supportsto stabilize position and facilitate caregiver use. Feasibility will be determined by using serialphotography, bedside observations, and rating scales completed by the principal investigator, nursingstaff, and families. Design modifications, large scale testing and marketing for institutional and homesettings will occur in Phase II. The company plans to patent and mass produce several standard andcustomized products by the end of Phase III.