Part 4 in our Wound Care Guide series.SeePart 1,Part 2, Part 3.Check out our comprehensive, digital Wound Care Guidehere.
The rule of thumb to minimize peak pressures with the goal of reducing the risk of or healing an existing pressure injury is: remove pressure from a small surface area that cannot withstand constant pressure or shear forces and REDISTRIBUTE it across areas of greater surface area. For example, we can redistribute pressure from the ITs to the femur and as much of the gluteal surface as possible. And we achieve this through either offloading or immersion.
One method is not necessarily better than the other; a therapist must understand what the benefits and considerations are of all methods and choose the best option for each patient. Utilize cushions that through their construction offload or immerse, or combine the principles.
Let’s review in detail the principle of offloading.
Part 2 in our series focusing on wheelchair solutions for Veterans. See Part 1 here.
If you work in an office setting, you’ll notice that there is an increased push towards standing desks and even treadmill desks. It has been well documented that prolonged sitting affects your health. So, if this is true for able-bodied individuals, it is certainly true for a wheelchair user.