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  4. OFF-LOADING PRESSURE RELIEF WITH FOAM CUT OUT CUSHIONS: EXPERIENCES FROM RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER

OFF-LOADING PRESSURE RELIEF WITH FOAM CUT OUT CUSHIONS: EXPERIENCES FROM RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER

JOURNAL OF REHABILITATION MEDICINE, 2023 · DOI: 10.2340/jrmcc.v6.18706 · Published: September 29, 2023

Assistive TechnologyRehabilitationDermatology

Simple Explanation

This paper investigates the effectiveness of using foam cut out cushions to relieve pressure on bony areas while sitting, especially for elderly wheelchair users who are prone to developing pressure injuries. This study delves into the historical background of foam cut out cushions and emphasizes their relevance in addressing the needs of modern patients. The findings underscore the importance of adopting the cushion fitting technique to reduce pressure-related health risks, making it a valuable approach for enhancing the comfort and well-being of aging wheelchair users.

Study Duration
Not specified
Participants
Case examples
Evidence Level
Not specified

Key Findings

  • 1
    Foam cut out cushions (FCCs) are effective in preventing pressure injuries, particularly for users with tissue atrophy in the pelvic region, as they completely alleviate pressure from high-risk areas.
  • 2
    Customization options offered by FCCs address other prominences (such as the pubic ramus, trochanter, and posterior femur) and asymmetries (such as the development of heterotrophic ossifications, scoliosis, and pelvic obliquities) that affect positioning and seating.
  • 3
    Recent research confirms FCCs’ benefits and applicability through pressure mapping and magnetic resonance imaging (MRI) techniques.

Research Summary

This paper investigates the efficacy of FCCs in preventing pressure injuries among elderly wheelchair users. It offers a historical perspective on FCC development, emphasizing their customization for individual patients. This paper raises awareness about FCC as a viable cushion option and encourages clinicians to consider it.

Practical Implications

Clinical Practice

Skilled clinicians are essential in the fitting process, understanding patient anatomy, and the cushion interaction to facilitate patient training for self-replicable results.

Customization

FCCs offer customization for various bony prominences and patient-specific asymmetries, improving pelvic stability, posture, and off-loading of bony prominences.

Prevention

Cushion choice alone is insufficient for pressure injury prevention; additional preventive measures are necessary.

Study Limitations

  • 1
    Widespread adoption among clinicians who have not been specifically trained at Rancho remains limited.
  • 2
    Polyurethane foam typically lasts 6 months to a maximum of 1 year with normal patient use.
  • 3
    Pressure mapping aids clinicians in cushion selection, it does not predict tissue deformation, increasing the risk of pressure injuries

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