Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - 66

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PRESSURE ULCER PREVENTION AND TREATMENT FOLLOWING SPINAL CORD INJURY

positioned in bed, and then transfer to the toilet
to evacuate bowel. A comprehensive approach for
skin care must include addressing these
equipment item surfaces, which are frequently
ignored when identifying culprits contributing to
skin ulceration. As with other mobility equipment,
these items must be inspected on a regular basis
for signs of deterioration and replaced for
continued quality performance. Utilizing interface
pressure mapping of padded durable medical
equipment can provide a higher level of scrutiny
for these equipment surfaces. Employing
interface pressure mapping with this equipment
will raise the individual's awareness for
recognizing that pressure management is just as
important with these devices as with their
wheelchair cushioning. It is important to work
with therapists and nurses who are familiar with
bowel care and pressure redistribution. It is
important that the bathroom equipment used
by persons with SCI is prescribed by
professionals who understand the pressure
redistribution qualities of these durable medical
equipment items.

Other Support Surfaces
26. Prescribe skin protection devices and
pressure redistribution systems for use with
recreational equipment, other motorized or
manually powered vehicles, and specialty
wheelchairs.
(Scientific evidence-N/A; Grade of recommendation-N/A;
Strength of panel opinion-Strong)

The concept of using a seating system that
redistributes pressure, minimizes shear, provides
comfort and stability, reduces heat and moisture,
and enhances functional activity does not only
apply to wheelchairs. This concept should be
applied for seating and positioning on any piece of
recreational equipment or vehicle, whether it is an
automobile, snowmobile, or tractor, as well as
specialty sport wheelchairs or other conveyance,
such as a handcycle. The concept should also
apply to any prescribed orthosis, exoskeletal
device, or standing device.



Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury

Table of Contents for the Digital Edition of Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury

Contents
Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - Cover1
Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - Cover2
Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - i
Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - Contents
Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - iii
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Pressure Ulcer Prevention and Treatment Following Spinal Cord Injury - v
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