Offloading essential: Pressure sores are caused by unremitting pressure, and many wheelchair patients do not have the normal pressure-pain-offloading mechanism that non-wheelchair-bound people do. Paraplegic, elderly, or diabetic patients may also have decreased sensation that signals need to offload pressure. Special pads can minimize pressure points, but periodic offloading is essential. No magic--relieve pressure!
Answered 9/28/2016
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Sores from sitting: Sores from sitting in wheelchairs are due to all three types of pressure injuries: pressure, shearing and friction. Pressure can be relieved by alternating positioning; shearing can be prevented by careful attention to lifting oneself before moving into a new position; and friction can be prevented by understanding and correcting any rubbing issues. Request a seating evaluation from your clinician.
Answered 4/6/2016
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