Össur Miami Jr. Instrucciones De Uso página 8

CHIN SUPPORT POSITIONING GUIDELINES:
For a heart-shape face, set the Chin Support Buttons to top position. For a
square shape face, set the Chin Support Buttons to down position. Slide
up to relieve chin tip pressure or discomfort. Slide down to relieve jaw
mandibular pressure or discomfort (Figure 11).
OCCIPUT SUPPORT POSITIONING GUIDELINES:
• Slide up to relieve occipital pressure or discomfort.
• Slide sternal pad down to enhance extension control.
The Miami Jr. (sizes P1, P2 & P3 only) include a removable sternal pad to
distribute ambulatory pressure. It may be removed if child's anatomy
dictates, for comfort during sleep and/or during meals to ease chewing
and swallowing (Figure 12). Please keep Sternal Pad with child's
belongings in case collar is prescribed for long-term or at home use.
ROUTINE COLLAR CARE
Keeping your child's Miami Jr. or Papoose and the skin beneath clean is an
important part of treatment. Daily cleaning will help to prevent skin
irritation. Cleaning the collar will require at least one set of replacement
pads. While at home, your child should shower or bathe with the collar on.
After bathing, you will need to remove the collar to wash his/her neck and
change the pads.
Unless otherwise specified by your child's doctor: do not remove the collar
except to wash under it and change the pads.
COLLAR REMOVAL AND SKIN CARE
Your child must be lying down in proper anatomical (airway and c-spine)
alignment to remove the collar, unless your doctor gives you permission
to do this in a sitting position.
1. Before removing the collar, note or mark with a pen where the ends
of the velcro straps are. When the collar is replaced, the straps
should be returned to the same position (Figure 13).
2. Undo the Velcro straps. Remove the Back of the collar, sliding out
from under neck if necessary (Figure 14).
3. Remove collar Front. If present, unfasten the elastic Assist Strap
that goes around the back of the neck (Figure 15).
4. Clean the Front and Back of collar and replace the soiled pads with
clean ones as directed in "Collar Cleaning" section.
5. Wash front of neck with mild facial soap and water and completely
dry the skin Observe for any redness or irritation under the collar,
especially over bony areas like the chin, clavicles or occiput (back of
head) (Figure 16).
6. Slide the Back carefully behind the child's neck. Make sure it is
centered evenly (Figure 17).
7. Replace collar Front by sliding it up the chest wall and scooping it
up! under the child's chin. (Figure 18).
8. Place a small pillow or folded towel under child's cheek to prevent
the head from tilting sideways. Gently roll the patient onto his/her
side (Figure 19).
9. Undo the Velcro strap on the top side of the collar and fold the Back
down to clean and check the back of the child's head for redness or
irritation. Make sure the back collar is re-placed and securely
8