Decubitus Ulcers -
Shearing [friction] on the Buttock and Coccyx

Shearing or rubbing occurs whenever there is friction on the surface of the skin over the coccyx (tail-bone) area from another surface, be it clothing, bed linens, or a wheelchair. The buttock and coccyx must be clean and dry at all times. Any moisture from bodily fluids or perspiration will make the skin more soft and more easily sheared or broken from friction and rubbing. The maximum recommended time interval to remain with pressure on any area is 2 hours before the person needs to change position.

SUGGESTIONS:

• Change positions at least every 2 hours. Contact a medical professional at the first signs of skin redness or breakdown.
  (Do not let a problem go untreated!) Use soft padding or gel-type pads in chairs and wheel chairs. Keep clothing loose and soft. Avoid heavy seams in garments. Keep the skin areas very clean and dry.
  
• If a product or cushion causes increased perspiration, contact a medical professional as moisture contributes to skin break down.

• If incontinence of bodily fluids is a problem, contact a medical professional
  as there are many helpful devices and treatments available.

• Excellent medical resource people are visiting nurses, physical and occupational therapists, and physicians.