TY - JOUR T1 - Skin protection wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions JF - Evidence Based Nursing JO - Evid Based Nurs SP - 79 LP - 80 DO - 10.1136/ebn1167 VL - 14 IS - 3 AU - Dimitri Beeckman AU - Katrien Vanderwee Y1 - 2011/07/01 UR - http://ebn.bmj.com/content/14/3/79.abstract N2 - Commentary on: Brienza D, Kelsey S, Karg P, et al. A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions. J Am Geriatr Soc 2010;58:2308–14.OpenUrlCrossRefPubMedWeb of Science ▪ A pressure redistributing wheelchair cushion, used in a fitted wheelchair, is recommended to reduce the incidence of sitting-acquired pressure ulcers in nursing home residents.▪ Selecting a wheelchair cushion must be a thought-out and well-advised decision and must be based on the expertise of a multidisciplinary team specialised in seating and mobility.▪ Wheelchair fit and function must be monitored and adjusted frequently to avoid missing foot and arm rests which may cause more pressure and shear on the bony prominences.▪ More research is needed to study the effect of repositioning protocols (posture and frequency) for at-risk patients seated in a wheelchair. When seated in a chair, the body weight causes the greatest exposure to pressure over the ischial tuberosities. … ER -