ActiveX Mattress Suitability for Stage 3 / Grade 3 Pressure Injuries

Suitability Overview:

ActiveX mattresses (IC15, 20, 25, 30) may be appropriate for some clients with Stage 3 pressure injuries or at very high risk of skin breakdown. Suitability depends on clinical presentation, mobility, and support available.

When an ActiveX Mattress May Be Suitable:

• The client scores 20 or higher on the Waterlow Scale

• The client is receiving regular repositioning support from a caregiver

• The client has some mobility or can assist with their own pressure relief

When to Consider Alternating Air Support Instead:

• There is a very high risk of recurrence

• The client has limited mobility or is unable to reposition independently

• Caregiver support is limited or unavailable

In these situations, an alternating air overlay or a full alternating air replacement mattress such as the Icare VersaFlo 3 mattress may offer better pressure redistribution and clinical outcomes.

Signs That Escalation to Alternating Air May Be Appropriate:

• History of recurring pressure injuries

• Unhealed Stage 3 wound or compromised skin integrity

• Limited caregiver availability for regular repositioning

• The client is bedbound or has severely restricted movement

Clinical Note:
ActiveX is a static support surface. For unstable or complex skin presentations, an alternating air system such as VersaFlo 3 is often the preferred option. Always seek individual assessment from a qualified clinician or wound care specialist.