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lundi 5 août 2013

Selection Of Pressure Relief Cushions

By Maryanne Goff


Pressure relief cushions are an important tool for helping individuals required to sit in wheelchairs for long periods of time. They help to maintain the health of the skin by distributing pressure in a variety of ways. They also help give postural stability and prevent shear force.

Lack of circulation means that supply of nutrients and oxygen to the cells decreases. This in turn means that ulcers may form. Once these ulcers have formed, they may be hard to treat so it is better to prevent them. Shear force occurs when a part of the body tries to move but the surface of the skin remains fixed, pulling skin and tissue apart. This may happen when an individual slips forward in the chair.

A number of different factors must be taken into consideration when choosing the right cushion. It is important to have the input of a clinical professional in making the decision. How long the user spends in the chair, how much moving around takes place and other factors like incontinence and posture problems must all be considered.

The proper combination of cushion and wheelchair is also important as there are various depths and sizes of cushions for purchase. The size of wheelchair, position of armrests and height of chair back all matter when it comes to choice. An individual does not want to sit too high or too low in the chair.

Different materials such as gel, foam, air and water are used in these products. This is because they are able to conform to the shape of the body, distributing weight and allowing for optimum blood flow. They all have this in common but when it comes to cost, weight, heat conduction and stability there are different advantages and disadvantages.

A foam cushion is one of the least expensive options but it wears down quite quickly and can become compressed. There are many different densities available today, some of which are more resilient than others. Memory foam that allows conformity is the most effective. The fact that foam is easier to cut and cheaper than some of the other options affords therapists the opportunity to try out different shapes.

An air floatation cushion supports the body with air. For example, it may consist of rows of small rubber balloons or it may channel air via pathways. A cushion like this is relatively lightweight and waterproof. There is also an air alternating variation that works with a pump, allowing cells to deflate and inflate. These products require regular maintenance to ensure proper inflation.

A gel cushion provides excellent weight distribution as it conforms to the shape of the body. It is very comfortable and it helps keep the surface temperature of the skin cool. A disadvantage is its weight as portability is important for users who frequently have to lift in and out of a wheelchair and a car.

Another consideration when purchasing pressure relief cushions is cost. These products vary widely in price but the more expensive items are probably most cost effective in the long run. Most of these products are fairly durable, depending upon the amount of wear and tear to which they are subjected. Some manufacturers are prepared to offer limited warranties.




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