When skin has healed after a pressure ulcer and is now ready to be sat on, it requires time to build up its strength.
To prevent further skin breakdown, it is recommended that you limit the time spent up in your wheelchair initially.
We recommend that there is no skin breakage before you start getting back up in your chair.
The table shown below is a guide to start getting up:
It is recommended that these stages are followed in order.
Do not skip a stage to try to get up quicker – you are at risk of repeated skin damage if you do not stick to the mobilising regime.
Note: In some instances individual regimes may be required for mobilising. This is especially true if you have had several surgical procedures.
It is important that the initial cause of any skin damage is found and dealt with.
The aim is to prevent further skin breakdown.
This might involve review of your mattress, cushion, clothing and wheelchair.
For further advice:
Inpatients – Talk to your named nurse, physiotherapist, or occupational therapist
Outpatients – Contact the spinal outpatient team 01296 3158
Guidelines to getting up after a period of bedrest
IMPORTANT NOTE:The mobilising times are intended as a guide only, and may need to be changed for your specific needs. In some instances individual regimes may be required for mobilising. This is especially true if you have had several surgical procedures.
It is recommended that these stages are followed in order.
Do not skip a stage to try to get up quicker – you are at risk of repeated skin damage if you do not stick to the mobilising regime.
Day
Time up in chair
1
Up for 30 mins once a day
2
Up for 1 hour once a day
3
Up for 2 hours once a day
4
Up 3 hours once a day
5
Up 4 hours once a day
6
Up 5 hours once a day
It is important that the initial cause of any skin damage is found and dealt with, to prevent further skin breakdown. This might involve review of your mattress, cushion, clothing and wheelchair
Continue to increase mobilising by 1 hour each day, until you reach your ideal time spent in your wheelchair with no marking effect on your skin.
Reference: The pressure clinic, Duke of Cornwall Spinal Treatment Centre, Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ