Consider replacing the recumbent support surface with one that provides better pressure redistribution, offloading capabilities, shear reduction, and microclimate control for individuals who:
cannot be positioned off the pressure injury
have pressure injuries on at least two turning surfaces
fail to heal or demonstrate pressure injury deterioration despite appropriate comprehensive care
have a high risk of developing additional pressure injuries
Assess the suitability of existing sitting support surfaces for treatment in an individual with a pressure injury. Evaluate the current sitting surface or cushion to determine if an alternative choice would better meet the individual’s needs during treatment of the pressure injury. (Adapted from PU-ONF 2013, p.167; Level C)