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Wheelchair cushions are cushions specifically designed to provide comfort and protection against injury for wheelchair users. They also aid in properly positioning the user in the correct posture. Wheelchair users are at great risk for pressure sores. [1] A number of factors are included in the formation of these ulcers including:
Pressure ulcers can trigger other ailments, cause considerable suffering, and can be expensive to treat. Some complications include autonomic dysreflexia, bladder distension, bone infection, pyarthrosis, sepsis, amyloidosis, anemia, urethral fistula, gangrene and very rarely malignant transformation (Marjolin's ulcer – secondary carcinomas in chronic wounds).
To complement an individualized wheelchair, an occupational therapist may also consider prescribing a hospital bed, pressure-relieving mattresses and foam wedges for proper positioning to prevent pressure skin ulcers, contractures and deformities. [1] Specialized trays, input devices and software may also be prescribed to facilitate computer use.
[31] [32] Pressure ulcers are caused by ischemia that occurs when pressure on the tissue is greater than the pressure in capillaries, and thus restricts blood flow into the area. [30] Muscle tissue, which needs more oxygen and nutrients than skin does, shows the worst effects from prolonged pressure. [ 32 ]
The Braden Scale for Predicting Pressure Ulcer Risk, is a tool that was developed in 1987 by Barbara Braden and Nancy Bergstrom. [1] The purpose of the scale is to help health professionals, especially nurses, assess a patient's risk of developing a pressure ulcer .
Though early use focused on burns and surgical wounds, [1] wider use of wounds treated with TCOT have become more common in diabetic foot ulcers, venous stasis and decubitus ulcers (pressure sores). TCOT involves inserting a thin tube which delivers the oxygen above the wound bed of a cleaned wound.
Sheepskin is used to produce sheepskin leather products [2] and soft wool-lined clothing or coverings, including gloves, hats, slippers, footstools, automotive seat covers, baby and knee rugs and pelts. Sheepskin numnahs, saddle pads, saddle seat covers, sheepskin horse boots, tack linings and girth tubes are also made and used in equestrianism ...
The Waterlow score (or Waterlow scale) gives an estimated risk for the development of a pressure sore in a given patient. The tool was developed in 1985 by clinical nurse teacher Judy Waterlow . It is available both on a two-sided score card and on an app.
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