Clinical Corner

Pressure Injuries: An Update

Pressure Injuries: An Update

This month, Clinical Corner has reviewed the updated terminology used for pressure injuries and the staging of pressure injuries. In addition, the position statements of the NPUAP related to pressure injuries have been reviewed. More information on Pressure Injuries can be found on the NPUAP website.

Posted on 2019-04-29


Selecting a Back Support Based on Seating Goals

Selecting a Back Support Based on Seating Goals

Last month’s Clinical Corner article focused on Selecting a Cushion Based on Seating Goals. The article highlighted the importance of conducting a thorough assessment and establishing goals for seating and mobility. Common goals of seating and mobility were outlined. These include: pressure management, positioning, function/stability, heat and moisture dissipation, impact and vibration dampening, comfort, or a combination of the goals. As I mentioned last month, both the cushion and the back support work together to achieve desired results. This month, let’s continue the discussion and focus on generic product parameters in back supports to help achieve client seating goals.

Posted on 2017-12-20


Selecting a Cushion Based on Seating Goals

Selecting a Cushion Based on Seating Goals

The assessment is the foundation for all that follows in seating and mobility. Conducting a thorough assessment that includes an interview and hands-on component, in addition to understanding the client’s desired outcomes and expectations, is the first step in determining goals for seating and mobility. Once the goals for seating have been established, generic product parameters can be selected to match the goals for seating and mobility. This month’s Clinical Corner article will review the common goals of seating and mobility and offer considerations to facilitate achieving those goals through seating. Although both the cushion and back support work together to achieve desired results, the focus of this month’s article will be on cushion selection. Back support selection based on seating goals will be the topic of a future Clinical Corner article.

Posted on 2017-11-24


Putting Evidence into Practice for Power Positioning

Putting Evidence into Practice for Power Positioning

Last month’s Clinical Corner article addressed The Evidence on Tilt, Recline and Elevating Leg Supports. The article reviewed the clinical benefits of tilt, recline and elevating leg supports and summarized the research findings with respect to angles required for redistributing and relieving pressure through tilt and/or recline. This month, let’s look at the practical application of power positioning. For what reasons do individuals use their power positioning features? How often are individuals completing pressure relieving movements through power positioning? How can technology assist individuals with pressure management?

Posted on 2017-02-28


Weight Shifting and Pressure Management 2.0

Weight Shifting and Pressure Management 2.0

I first wrote about Weight Shifting and Pressure Management in November 2013. Weight shifting and repositioning are important parts of pressure management to prevent pressure ulcer formation for individuals who use wheelchairs. Click here for the November 2013 Clinical Corner article, which contains information on what occurs internally to the tissue surrounding the pelvis during sitting.

Posted on 2016-02-17


Weight Shifting and Pressure Management

Weight Shifting and Pressure Management

In the past, I have written about wheelchair cushions and how materials and product design affect skin protection. This month, I would like to focus on weight shifting and its role in skin protection.

Posted on 2013-11-22


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