They keep the skin dry and reduce friction. They do not relieve pressure. Patients sitting out in a chair or confined to a wheelchair should have all the appropriate cushions and devices. Spenco cushions are commonly used but the Roho cushion, or the Clinifloat cushion, may also be needed. The size and fit of a chair or wheelchair are as important as any pressure-distributing cushion.
Prevention is everything - once they have developed, bedsores are difficult to treat.
Regular inspection is vital and should be the job of all team members. It is good nursing practice and also provides emotional support to patient and carer, who will value the attention given.