Periodic pressure relief - one of the following:
(1) "push ups" on armrest every hour
(2) wiggle and lifting of buttocks at least hourly
(3) movement by caregiver
Hygiene, especially if incontinent in feces or urine:
(1) cleanliness and need to report soiling
(2) wash cushion and covers if soiled
(3) keep clothing, cushion and cover dry
Inspect:
(1) cushion for signs of excessive wear
(2) points of abrasion or excessive friction
(3) correct wheelchair size for growing children and obese patients
(4) proper placement of the cushion in the wheelchair
(5) skin for early signs of abrasion. maceration or excessive pressure