Assess and prescribe options for other seating needs and provide recommendations for transfers and repositioning as part of the seating assessment to ensure that these surfaces and their use do not cause pressure injuries. These needs may include:
bathroom surfaces, such as a commode, toilet, shower bench, or other surfaces
seating options for travel
sports wheelchairs and seating for recreational and other activities
any other surface the individual may use other than the wheelchair.
Optimize the bowel care routine to minimize time using the commode and reassess the bowel program if more than 1 hour is required. (PU-ONF 2013, p.124; Level C)
Consider a tilt commode if postural instability results in sliding or uneven pressure distribution on the sitting surface. (PU-ONF 2013, p.124; Level C)
Advise and provide written information to an individual with SCI about equipment options and appropriate preventive strategies during travel. (Adapted from PU-ONF 2013, p.126; Level C)