8
JAY®
FUSION Cushion
VI. BOTTOMING OUT
A. WHAT IS BOTTOMING OUT?
Bottoming out may occur on a Fusion Cushion if you displace
the fluid or air underneath your pelvic bones or buttocks,
which would leave you sitting on the foam base. It sometimes
occurs on very thin individuals, users with recliner wheelchairs,
users who have lost weight or have other changes in body size
or shape, or users who slouch when sitting.
If the cushion is properly positioned, the footrests are properly
adjusted, and there is not at least the minimum 1/2" (1.3 cm) of
fluid, the cushion is bottoming out and should not be used. If
you are bottoming out, discontinue use of the cushion and see
your clinician. Usually bottoming out is easily solved by
ordering additional fluid in the form of an Overfill. Call your
local authorized supplier to see if this is appropriate for you.
Air Insert
Reference the Air Insert Owner's Manual Supplement
for instructions on preventing and checking for
bottoming out.
C. WHEN TO CHECK
With JAY Flow Fluid or JAY Fluid with Cryo
Technology insert, check every month when you clean
the cushion.
With Air Insert, check daily.
WARNING
When bottoming out occurs, increased pressure is placed onto
the ischials and coccyx increasing the risk for skin breakdown.
Immediately discontinue use of the pad. See your healthcare
professional.
B. HOW TO CHECK FOR BOTTOMING OUT
JAY Flow Fluid Pad or
JAY Fluid with Cryo Technology
Insert
To check for bottoming out, sit on the cushion with the cover on and
the zipper opened for 7-10 minutes. Transfer up and off the cushion
(or have someone help you transfer), trying not to disturb the fluid
underneath you. Fold the back portion of the cover forward over the
front, exposing the fluid insert. Push down in the depressions on the
pad where your ischials (seat bones) and coccyx (tailbone) were. You
should have to push through at least 1/2" (1.3 cm) of fluid before you
feel the firm cushion base below.
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