شاب عمره ٢٧ سنة عنده شلل سفلي بعد حادث، يستخدم كرسياً متحركاً معظم اليوم في العمل. لاحظ احمراراً لا يزول على عظمة الجلوس. أي إجراء يقلل قرح الضغط في الحوض؟

A 27-year-old with paraplegia after an accident uses a wheelchair most of the day at work. He has noticed non-blanching redness over his ischial tuberosity. Which measure reduces pelvic pressure ulcers?

1. A ring cushion with a hole in the middle for the pelvis
2. Sitting still to avoid friction
3. Firmly massaging reddened areas
4. Weight shifts every 15–30 min and a good cushion

Answer: D) Weight shifts every 15–30 min and a good cushion. Wheelchair users need regular pressure relief (push-ups or tilts), a pressure-redistributing cushion and daily skin checks. Ring cushions reduce surrounding perfusion and massage damages tissue.