Which intervention is most important for a person who is in a wheelchair for long periods?
a. Reposition self every 2 hours.
b. Lift weight on the arms of the chair every 15 minutes.
c. Massage bony prominences of the but-tocks and hips.
d. Use a donut device to keep weight off of the buttocks.
B
Lifting or off-loading weight every 15 minutes while in a wheelchair will reduce the threat of pressure ulcer. Tissue anoxia can result in less than 2 hours. Movement to shift weight every 15 minutes is most effective. Massage can damage delicate tissues in the at-risk patient. The donut device reduces circulation to the area compressed and is contraindicated.
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