This paper is the keynote speech, which means about Nursing Science and Engineering of October 4, 2014. Japanese experience with March. 11 2010 disaster advocated the“Proposal of Consilience Design”for the crisis and risk resolution in the future of the human survive in the global earth.

Kanazawa Medical University and Kanazawa Institute of Technology have been collaborating in medical and nursing and engineering. The two organizational programs have been carried out with respect to cooperation of nursing and engineering. One was carried out in“ Design ProjectIII”for senior students in the information engineering. Students found the problem in medical or welfare field and proposed the solution while exchanging opinions with senior students in the nursing. Another is an extra-curricular project for students of the mechanical engineering. Students have been proposed the solution for the needs raised by the nursing faculty and developed some equipment in the nursing field while taking the advices from mechanical engineering faculty. Most of nurse’s needs in daily operations, as the case shown in this paper, can be solved by the application of existing technologies. Then, such as programs are suitable for education in the engineering design.

Pressure ulcer is defined as an area of localized irreversible damage to the skin and underlying tissue caused by tissue loads, namely pressure, shear, friction and/or a combination of these things. The Japanese government introduced legislation in 2002 that mandated provision of adequate support surfaces for prevention and management of pressure ulcers. Many studies demonstrated that support surfaces can reduce the incidence of the pressure ulcer development. However, there has been no consensus method for evaluating the pressure redistribution properties of support surfaces. In this article, the problems which now confront us to evaluate the pressure redistribution properties of support surfaces are introduced.

The purpose of this study was to verify the effectiveness of a non-invasive undermining measuring device（UMD）. Seven patients with undermining were included as subjects. The seven undermining sites were measured using UMD, forceps, and wound sticks by the nurses. The results indicated that UMD did not cause any bleeding from any wounds, and only one subject experienced pain. UMD could also measure the largest undermining areas in most of the undermining ulcer sites（5 of 7 sites）. A comparison of the three devices indicated no significant differences in the usage time. Nurses rated UMD as significantly easier to insert than forceps and it appeared to cause less tissue damage than the other two devices（for each device p＝.001）. The above findings suggested that UMD was more effective than forceps and wound stick.