Journal of Tissue Viability
Volume 18, Issue 4 , Pages 98-108 , November 2009

Seating and pressure ulcers: Clinical practice guideline

  • Lesley Stockton

      Affiliations

    • University of Liverpool, School of Health Sciences, Thompson Yates Building, Brownlow Hill, Liverpool L69 3GB, UK
    • ,
  • Kryzstof S. Gebhardt

      Affiliations

    • St George's Healthcare NHS Trust, Pressure Ulcer Prevention Team, St George's Hospital, Blackshaw Road, London SW4 0AG, UK
    • ,
  • Michael Clark

      Affiliations

    • Department of Wound Healing, School of Medicine, Cardiff University, Cardiff, UK
    • Corresponding Author InformationCorresponding author.

References 

  1. Jordan MM, Clark MO. Report on incidence of pressure sores in the patient community of the Greater Glasgow Health Board area on 21 January 1976. Glasgow: University of Strathclyde; 1977;
  2. David JA, Chapman RG, Chapman EJ, Lockett B. An investigation of the current methods used in nursing for the care of patients with established pressure sores. Nursing Practice Research Unit, Northwick Park Hospital. 1983;
  3. Clark M, Cullum NA. Matching patient need for pressure sore prevention with the supply of pressure redistributing mattresses. Journal Advanced Nursing. 1992;17(3):310–316
  4. Gebhardt KS, Bliss MR. Preventing pressure sores in orthopaedic patients. Is prolonged chair nursing detrimental?. Journal of Tissue Viability. 1994;4:51–54
  5. Stockton L, Parker D. Pressure relief behaviour and the prevention of pressure ulcers in wheelchair users in the community. Journal of Tissue Viability. 2002;12(3):84–90
  6. National Institute for Health and Clinical Excellence . Pressure ulcers: the management of pressure ulcers in primary and secondary care (CG29). National Institute for Clinical Excellence. September 2005;
  7. Meijers JM, Schols JM, Jackson PA, Langer G, Clark M, Halfens RJ. Evaluation of the dissemination and implementation of a nutritional guideline for pressure ulcer care. J Wound Care. 2007;16(5):201–205
  8. Medical Devices Agency . Wheelchair cushions, static and dynamic: a comparative evaluation. London: HMSO; 1997;
  9. Henderson JL, Price SH, Brandstater ME, Mandac BR. Efficacy of three measures to relieve pressure in seated persons with spinal cord injury. Archives of Physical Medicine and Rehabilitation. 1994;75:535–539
  10. Nawoczenski DA, Clobes SM, Gore SL, Neu JL, Olsen JE, Borstad JD, et al. Three-dimensional shoulder kinematics during a pressure relief technique and wheelchair transfer. Archives of Physical Medicine and Rehabilitation. 2003;84:1293–1300
  11. National Institute for Health and Clinical Excellence . Inherited clinical guideline B.. National Institute for Clinical Excellence. April 2001;
  12. Agency for Health Care Policy and Research . Pressure ulcers in adults: prediction and prevention. Clinical practice guideline number 3. AHCPR Publication No. 92-047. Rockville, MD: U.S. Department of Health and Human Services; 1992;(AHCPR now known as Agency of HealthCare Research and Quality AHRQ)
  13. Department of Health . Your guide to pressure sores. London: HMSO; 1994;
  14. Wall J, Colley I. A study to evaluate factors for inclusion in a new self-assessed risk indicator for persons who use a wheelchair for mobility. Journal of Tissue Viability. 2005;15(1):9–16
  15. Crawford SA, Stinson MD, Walsh DM, Porter-Armstrong AP. Impact of sitting time on seat-interface pressure and on pressure mapping with multiple sclerosis patients. Archives of Physical Medicine and Rehabilitation. 2005;86:1221–1225
  16. Goossens RHM, Teeuw R, Snijders CJ. Sensitivity for pressure differences on the ischial tuberosity. Ergonomics. 2005;48:895–902
  17. Rithalia S. Assessment of patient support surfaces: principle, practice and limitations. Journal of Medical Engineering & Technology. 2005;29(4):163–169
  18. Rithalia S, Kenny L. The art and science of evaluating patient support surfaces. Available at: http://www.worldwidewounds.com/2001/september/Rithalia-and-Kenney/Evaluating-Support-Surfaces.html.
  19. McInnes E, Bell-Syer SEM, Dumville JC, Legood R, Cullum NA. Support surfaces for pressure ulcer prevention. Art.No.CD001735. Cochrane Database of Systematic Reviews 2008; (Issue 4). doi:10.1002/14651858. CD001735.pub3.
  20. Apatsidis DP, Solomonidis SE, Michael SM. Pressure distribution at the seating of interface custom-molded wheelchair seats: effect of various materials. Archives of Physical Medicine and Rehabilitation. 2002;83:1151–1156
  21. Collins FA. Practical guide to wheelchair cushions. International Journal of Therapy and Rehabilitation. 2007 Dec;14(12):557–561
  22. Crenshaw BS, Vistnes LM. A decade of pressure sore research: 1977-1987. Journal Rehabilitation and Research Development. 1989;26(1):63–74
  23. Stockton L. Guide to choosing the right pressure-reducing cushion. Nurse Prescriber/Community Nurse. 2000;33–34
  24. Stockton L, Rithalia S. Is dynamic seating a modality worth considering in the prevention of pressure ulcers?. Journal of Tissue Viability. 2008;17(1):15–21
  25. Michael SM, Porter D, Pountney TE. Tilted seat position for non-ambulant individuals with neurological and neuromuscular impairment: a systematic review. Clinical Rehabilitation. 2007;21:1063–1074
  26. Franks PJ, Winterberg H, Moffatt CJ. Health-related quality of life and pressure ulceration assessment in patients treated in the community. Wound Repair & Regeneration. 2002;10(3):133–140

PII: S0965-206X(09)00036-9

doi: 10.1016/j.jtv.2009.09.001

Journal of Tissue Viability
Volume 18, Issue 4 , Pages 98-108 , November 2009

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