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The bladder muscle, “detruser” and external sphincter are similarly affected. Early drainage occurs with indwelling (“foley”) Catheter. When urine volumes are equal to or less than 400 cc per 4 hr., the patient is converted to an Intermittent Catheterization program (ICP). Control fluid intake is closely monitored, especially at night (due to remobilization of fluid from the legs). Early catheter removal reduces the risk of infection (UTI) and allows for better fluid regulation and restriction if necessary. Early ICP reduces Foley Catheter related complications (erosion, stones, recurrent infections, colonization, resistant organisms).
This study compared the short-term pressure-relieving ability of the three most commonly prescribed wheelchair cushions (Roho, Jay, Pindot) for a person with SCI. The number of pressure sensors registering at the buttock-cushion interface during wheelchair sitting was measured by the Xsensor Pressure Mapping System after 5 min of sitting. An alternating treatments research design, with an initial baseline and a final treatment phase ending with the most effective cushion for relieving pressure, was used for the clinical evaluation. Measurements were compared using visual inspection and a Wilcoxon signed ranks test.