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"Friction" Pressure Sores on Left Ischium...

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    "Friction" Pressure Sores on Left Ischium...

    So...I have a question: I have been a paraplegic for nearly 40 years. Long story short, there is about a 1/2" x 1/2" area on my left ischium that tends to get break down from time to time. I use a ROHO and have had my wheelchair seat mapped. Very very little pressure and no "red" areas on the seat mapping grid.

    I've read recently that "friction" can cause pressure sores. Because this area gets the fulcrum of my sitting weight, I've noticed that when I lean forward or side to side, etc I can feel the bone area with my hand move around a little and possibly create friction. I'm wondering about a possible solution aside from weight shifting which is good for all paras to do, but won't keep my skin from breaking down:

    Anyone know of a cushion that can have a hole (see attached pic of a pic I made of something I thought of) for a Jay Or ROHO cushion:

    Click image for larger version

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    I wonder too if anyone has any ideas? Much appreicated!!

    thanks,

    Kovy

    #2
    wheelchair consultant with mapping and movement would be best
    pbr
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      That is normal to feel the bone move, the friction is with the skin that can be irritated with movement. Shear is when bone stays one way and muscles and skin go the other. Pressure is the biggest issue. Weight shifts every 15 minutes have been shown to be effective. It relieves pressure but no or minimal friction and shear. CWO
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


        #4
        Sorry others haven't posted for you, but I actually think there are multiple cushions available like you are imagining, with holes at the ischial sites. I think folks on this site have used them. Sorry, I don't remember the names, but I'll poke around to see if I can find them. I remember I worried about using them since the nurses always said to never sit on a "donut" cushion, and wondered if these could cause pressure issues around the hole. But hopefully others will post.

        There are some underwear called "Glidewear" that are crazy expensive and fit like bicycling shorts that my Dad's wound care doctor recommended to decrease friction. He likes them, but unfortunately developed a sore from the waistband (!!) which fits snuggly and was rubbing on an old surgical scar, that reopened. So he had to stop wearing them.

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          #5
          This might be what you are looking for. https://www.vicair.com/products/

          Comment


            #6
            All cushions cover the wheelchair seat. There are no holes. Using pressure mapping the seating specialist inflates areas differently specific to what you need. When you are sitting up, is goal areas get the most pressure. No matter what cushion, weight shifts are required every 15 minutes. CWO
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


              #7
              Again, I know others on this site have used these cushions that remove pressure at the ischials, and the nurses may not have seen them (although I thought KLD might have posted about one...). But you may want to look at the Isch DIsh cushion from Span America. ROHO can make custom cushions for you. But I can't find/remember the one that has been posted on here several times and is popular.

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                #8
                Yes I have seen them but this is one size fits all. U shaped. With pressure mapping and computerized adjustments the same effect can be done customized to one person only. All butts are not the same size, all people do not sit exactly the same on the cushion etc..For approx. $500 why get something not specifically designed for your sitting and issues which can be easily changed if needed? CWO
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment

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