Pressure injuries can severely degrade the client's quality of life and can be very disruptive, financially and socially. Time spent in bed can lead to psychological stress and physical deconditioning that can have further consequences for the client's health and wellbeing.
Seating interventions are usually a step-by-step process. Do not be disheartened if achieving a good seating result takes many attempts! Each trial provides more information to help understand the limitations and requirements of the client’s seating and mobility needs. To gain the most out of each trial it is helpful to monitor and evaluate the outcome of seating interventions that have been tried. Ask the client to record what worked well and what did not. A record of usage (when, where and for how long) may also be useful in clarifying the typical environment of use.
Fine tuning of the seating configuration of a trial setup or across multiple trials may be required to obtain the best outcome to meet a client’s clinical needs and personal preferences. A small adjustment can often make the difference between a setup that works and a setup that does not. Where possible, adjusting a single component at a time can help to establish whether there is a direct relationship between the cause and effect for a seating outcome.
If you have reached the limit of available options you can refer to a Spinal Seating Service for advice or a consultation to explore complex seating solutions or custom fabricated seating solutions.