Wheelchair Pressure-Reducing Pads

Wheelchair Pressure-Reducing Pads Policy 

Purpose: 

• To support the bony prominences of the ischial tuberosities. 

• To reduce pressure and prevent skin breakdown. 

• To distribute pressure evenly over the surface of the buttocks. 

• To maintain adequate circulation. 

• To relieve pain and discomfort. 

Equipment: 

• Foam pad 

• Gel pad 

• Air pad 

• Combination of the above 

• Appropriate pad cover 

Note: Do not use donut-type devices. 

Procedure: 

I. Placement and Preparation: 

• Any type of pad used should support and hold the bony prominences suspended above the seat of the chair. 

• Place the pad on the wheelchair and cover it with the appropriate cover. 

II. Assisting the Resident: 

• Assist the resident into the wheelchair, using proper transfer techniques. 

• Ensure that clothing or protective cover is not wrinkled under the resident. 

• Make sure the resident’s clothing covers their back so that their skin is not in contact with the plastic backrest. 

• Cover the legs with a lap robe if desired by the resident. 

• Pad wheelchair arm and leg rests if necessary. 

III. Positioning and Comfort: 

• Reposition the resident at least every two hours and toilet as necessary. 

• Assist the resident to the desired area of the facility. 

• Encourage and instruct the resident in proper procedures for safely propelling the wheelchair. 

• Leave the resident in a comfortable position with the call light within reach. 

Documentation: 

Documentation may include: 

• Date, time, and duration the resident was up in the wheelchair. 

• Amount of assistance required to transfer from bed to chair. 

• Type of pressure-reducing pad used to prevent irritation and skin breakdown. 

References: 

• Centers for Medicare & Medicaid Services (CMS), Requirements of Participation for Long-Term Care Facilities. 

• State Operations Manual (SOM), CMS.