A call from an adjuster who was frustrated about having to replace a $9,000 low air-loss mattress after only two years prompted a full investigation of an injured worker's ongoing medical care and rehabilitation program.

The claimant was a 48-year-old man who was severely injured in 1982 in a fall while working on a construction job.  

Deemed quadriplegic with C1 to C4 fractures, he has no use of his legs and minimal use of his arms, and uses a power chair. He has had chronic wounds for the past 15 years and has been treated at numerous clinics. As his health deteriorated, he has spent more time in bed, and turning him is an issue due to his weight. 

The mattress should have lasted at least five years. It was a good brand and the right recommendation for the claimant, who needed wound care. Using air as the support structure, low air-loss mattresses minimize pressure on the body and circulate air across the claimant's skin. This reduces moisture and facilitates wound healing while it prevents pressure ulcers.

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