- After the wheelchair/seat has been assessed by a seating specialist (i.e., occupational therapist or physical therapist), establish a modified sitting schedule for people with pressure injuries on the ischial tuberosity, coccyx, or sacral areas. The length of time that a person may be in the sitting position will depend on the person’s quality-of-life goals, equipment availability, and the progression of wound healing.
- Do not use a donut-type device. Follow the seating recommendations provided by the seating specialist (i.e., occupational therapist or physical therapist).
- When appropriate, incorporate a tilting or reclining mechanism to facilitate proper positioning and prevent sliding.
- Ensure that the person’s feet are supported properly while in a seated position (i.e., on the floor or with foot support).
- Educate the person regarding proper weight-shifting techniques according to the interprofessional plan of care.
Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition
Point of Care Resources