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I am doing a research paper for school about the use of pressure relief mattresses. I would like to know if there is a certain methodology as to why it can be so difficult to get a mattress for anything less than a stage 3. I work home care and have to go through the ringer to get padding for a chair or bed. I have heard from others that work in facilities that they are having difficulty also. It seems that some patients have to have serious wounds in order to qualify and by that point so much is being spent on additional dressing supplies. Can anyone shed some light on as to why this is? I would appreciate any opinions out there.