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Managing and/or Preventing Pressure Injuries with Wheelchair Users
Managing and/or preventing pressure injuries with wheelchair users can be a complex process. In this month’s blog I want to look at some of the factors clinicians will consider when trying to address pressure care needs in relation to wheelchair users.
Reducing the risk of pressure injuries (also known as pressure ulcers or bedsores) for individuals who use a wheelchair involves a combination of regular movement, appropriate equipment, good hygiene, and consistent skin monitoring. Below is a guide of key considerations.
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Regular Pressure Relief
- Shift weight every 15–30 minutes: Teach or assist the wheelchair user to lean forward, side to side, or lift themselves slightly if possible.
- Use timers or reminders: Set a timer to remind the individual to reposition regularly.
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Use Appropriate Cushions
- Pressure-relieving wheelchair cushions: Use gel, air, or high-density foam cushions specifically designed to distribute pressure evenly.
- Avoid regular pillows: They do not offer adequate support or pressure relief.
- Get assessed by an occupational therapist (OT): They can recommend the right cushion based on weight, posture, transfer need, and skin risk level.
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Ensure Proper Wheelchair Fit
- Correct seat size: A seat that’s too small or too large can increase friction and pressure.
- Posture support: Ensure that the individual sits upright with good alignment to reduce pressure points.
- Back and leg support: Adjust footrests and back support to distribute weight more evenly.
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Monitor Skin Daily
- Check pressure points: Look at the buttocks, hips, tailbone, thighs, and heels for redness, discolouration, or open areas.
If you have any queries or think you or a loved one would benefit from our services, please contact us at The Wheelchair OTs — we would love to hear from you.