The Use Of Pressure Relief Cushions To Help Prevent Skin Ulcers

By Ladonna Chambers


There are many ways to help prevent people with low mobility from developing painful ulcers and sores, and using pressure relief cushions is one of them. People who are forced to spend long periods of time sitting or lying are most at risk of developing this condition, especially if they can not change position themselves. Bony areas such as the buttocks, hips, shoulders and heels tend to most affected with the ulcers developing when the tissue is damaged by continued pressure against the bed or chair, by slipping and dragging and by friction. Ulcers can be difficult to treat, especially in the most severe cases, so prevention is important.

It is always a good idea to consult a health care professional before purchasing this equipment so that they can advise on what is the most suitable. Occupational therapists and physiotherapists, in particular, can give very valuable advice. It is particularly important to make sure that purchases will not cause dangerous situations; for example, using too high a pad in a wheelchair could mean that the patient could easily topple out. It is therefore essential to make sure that aids fit chairs correctly, and some need to be made to measure.

Pads are filled with a variety of materials such as foam, gel, air or water. Some materials, such as foam, conform to the shape and movement of the body. These are comfortable and suitable for many, but somebody very unsteady on their feet might find a product that is a bit firmer and less likely to move with them when they get up, both safer and more useful.

Sores and ulcers are more likely to develop when skin is damp, so a pad that wicks moisture away from the body is a good idea, especially for people who tend to get hot easily, or the incontinent. Waterproof items are available for the incontinent, but can also be useful for others, for example if drinks are spilt. All patients would benefit from a product that can be cleaned as this should extend the life of the item.

Some products feel warmer t the touch than others depending on whether they contain foam, water, gel or air. Gel pads generally feel the coldest so somebody who feels the cold may not be comfortable sitting on one. Foam usually feels warmest and gets warm from the heat of the body quite quickly so is best avoided by those prone to overheating.

Some products are more effective than others and are frequently graded as being suitable for high, medium or low risk of ulcers. They come in all shapes and sizes, but should the size needed for a particular chair not be available, many companies offer a custom-made service. Some pads have an upward sloping side to prevent those with low stability slipping in their chairs. Thin soft items will wear out quickly but all will last longer if they are turned over frequently.

All products should adhere to fire safety laws but smokers should take particular care that the pad they use is fire resistant. Very heavy patients may need to check that the product they are considering will take their weight and obviously, children will have different needs to adults. If the item will need to be moved around it should not be too heavy or hard to grip.

Pressure relief cushions can be a valuable aid in the prevention of ulcers, but it is important that the correct product is used. Other measures should be employed along side their use such as moving the patient in the correct manner in order to avoid dragging, not letting them get too hot or cold and dealing with incontinence issues promptly. Making sure that the patient has a good diet and enough to eat is also important.


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