• turning the patient every 2 hours or more (depending on risk assessment findings)
• avoiding positioning the patient on bony prominences, such as the trochanters, sacrum, and heels
• using specialized support surfaces
• minimizing moisture
• frequently inspecting the skin under braces and splints
• using a custom-fit wheelchair with pressure-relieving cushions
• establishing a pressure-release regimen (manual or automated) for wheelchair sitting
• providing nutritional counseling and patient education.
If skin breakdown occurs, consult specialized wound care services for wound assessment and treatment. Treatment options may include both surgical and nonsurgical interventions, depending on wound stage, location, and depth.