Prevent Pressure Ulcers with Shear Protection Bootees

Parafricta® Bootees are made of an innovative low-friction fabric and have been developed specifically to protect the soft and thin skin on the feet against bedsores due to friction and accompanying shear on the underlying tissues:

  • To help prevent and assist better healing of friction and pressure-associated ulceration
  • Help to keep wound dressings in place by preventing them from becoming wrinkled when the foot is moved against the contact surface
  • Prevent skin damage causing bedsores, due to repeated limb movements or when the heel is used to push the patient up the bed
  • Can be removed with ease to inspect the skin for damage
  • Can be laundered and used again as per the care label instructions

Instructions for Use

The low-friction bootees should be used as follows:

  • They can be used in bed or in a chair combined with appropriate devices to offload pressure as a mattress, cushion or wedge and therefore prevent pressure ulcers
  • The size should be selected after measuring the foot in cm as prescribed, and the fit should be comfortable according to the sizing table
  • Soiled bootees should be changed, and likewise if clinical judgment so recommends
  • If a Slip-on bootee proves difficult to use, the Velcro-Closure type may be considered
  • When the Velcro-Closure type of bootee is used the straps must be loosened first, the foot slipped in and then the straps secured firmly, avoiding tightness, using the Velcro

An important precaution is that while the bootees are designed to have a non-slip sole so that the patients can get out of bed or a chair, they are not to be worn like slippers for walking around.

Taking Measurements

It is important to measure the foot from the back of the heel to the top of the big toe to achieve a comfortable fit.

Types of Parafricta Bootee

When Should Low-Friction Bootees be Used?

Medically established criteria for risk factors for the development of pressure ulcers over the heel or foot include:

  • Early signs of skin damage such as reddening (non-blanching erythema), abrasions, or retention of moisture below the epidermis
  • Difficulty in repositioning a patient without some part rubbing or dragging against the contact surface
  • Repeated chronic movements of the legs are part of the medical condition
  • Patients push themselves up using their heels against the mattress
  • The skin is especially vulnerable as in diabetics or very old or ill patients

When Should the Bootees be Changed?

Whenever the clinical condition suggests a need to change the bootees they should be replaced.

How to Wash the Bootees

All bootees should be washed in a separate load, if possible, using a hot 60 ºC synthetic cycle or possibly a wash cycle that uses 70 ºC for 10 minutes (sanitizing cycle), as in many hospital laundries, and then air-dried.

Should Patients Walk in the Bootees?

The bootees have non-slip soles so patients can safely get out of bed to a chair or vice versa, but they must not be worn as slippers to walk around in.

Can the Bootees be Put on over Dressings?

The bootees are useful over foot dressings as they prevent them from becoming wrinkled and coming off.

Do the Bootees Make the Patients’ Feet Hot or Damp?

The bootees are cool and the fabric allows the skin to breathe.

Can Patients Wear Socks Inside the Bootees?

The skin should be in direct contact with the fabric that lines the bootees.


  • NICE Pathway for Pressure Ulcers:
  • Heel pressure ulcer prevention: a 5-year initiative using low-friction bootees in a hospital setting (Gleeson, D. Wounds UK Vol 12, No4, 2016)
  • Clinical and cost effectiveness evaluation of low friction and shear garments (G. Smith & A. Ingram, Journal of Wound Care Vo l 19, N°12, Dec 2010).

About ParafrictaParafricta

This information has been sourced, reviewed and adapted from materials provided by Parafricta.

APA Parafricta Ltd’s range of Parafricta®-branded medical garments and bedding have been clinically proven to offer protection to fragile skin from the damaging effects of friction, which can lead to painful skin breakdown and ulceration (medically known as “pressure” or decubitus ulcers and commonly known as “bedsores”).

For more information on this source, please visit Parafricta.

Sponsored Content Policy: publishes articles and related content that may be derived from sources where we have existing commercial relationships, provided such content adds value to the core editorial ethos of News-Medical.Net which is to educate and inform site visitors interested in medical research, science, medical devices and treatments.

Last updated: Oct 12, 2018 at 4:57 AM


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