{"id":5193,"date":"2026-04-12T16:08:55","date_gmt":"2026-04-12T16:08:55","guid":{"rendered":"https:\/\/accesslife.co\/?page_id=5193"},"modified":"2026-04-12T18:55:38","modified_gmt":"2026-04-12T18:55:38","slug":"skin-article-4","status":"publish","type":"page","link":"https:\/\/accesslife.co\/en\/skin-article-4\/","title":{"rendered":"Skin article 4"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1929897150\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-352789655\">\n\n\n\t<div id=\"col-1701165734\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<style>\n.a4h{background:linear-gradient(150deg,#14532D 0%,#166534 55%,#16A34A 100%);padding:44px 40px 40px;width:100%;position:relative;overflow:hidden;}\n.a4h *{box-sizing:border-box;margin:0;padding:0;}\n.a4h-in{max-width:860px;margin:0 auto;position:relative;z-index:1;}\n.a4h-row{display:flex;align-items:center;gap:10px;margin-bottom:16px;flex-wrap:wrap;}\n.a4h-tag{font-size:10px;font-weight:700;letter-spacing:.13em;text-transform:uppercase;background:rgba(255,255,255,.15);border:1px solid rgba(255,255,255,.28);color:#fff;padding:4px 12px;border-radius:20px;white-space:nowrap;}\n.a4h-line{flex:1;height:1px;background:rgba(255,255,255,.2);min-width:20px;}\n.a4h-series{font-size:10px;color:rgba(255,255,255,.5);white-space:nowrap;}\n.a4h-title{font-family:Georgia,serif;font-size:30px;font-weight:700;line-height:1.2;color:#fff;margin-bottom:12px;}\n.a4h-sub{font-size:15px;font-weight:300;color:rgba(255,255,255,.85);line-height:1.65;max-width:600px;margin-bottom:24px;}\n.a4h-stats{display:flex;flex-wrap:wrap;background:rgba(255,255,255,.1);border:1px solid rgba(255,255,255,.2);border-radius:8px;overflow:hidden;}\n.a4h-stat{flex:1;min-width:100px;padding:12px 16px;border-right:1px solid rgba(255,255,255,.15);}\n.a4h-stat:last-child{border-right:none;}\n.a4h-num{font-family:Georgia,serif;font-size:22px;font-weight:700;color:#fff;line-height:1;margin-bottom:3px;}\n.a4h-lbl{font-size:9px;color:rgba(255,255,255,.6);text-transform:uppercase;letter-spacing:.08em;}\n@media(max-width:600px){\n  .a4h{padding:32px 20px 28px;}\n  .a4h-title{font-size:22px;}\n  .a4h-sub{font-size:14px;}\n  .a4h-stat{border-right:none;border-bottom:1px solid rgba(255,255,255,.15);flex:0 0 50%;}\n  .a4h-stat:nth-child(odd){border-right:1px solid rgba(255,255,255,.15);}\n  .a4h-stat:nth-last-child(-n+2){border-bottom:none;}\n}\n<\/style>\n<div class=\"a4h\">\n<div class=\"a4h-in\">\n<p>&#8220;`<\/p>\n<div class=\"a4h-row\">\n  <span class=\"a4h-tag\">Article 4 &middot; SCI Health Series &mdash; Final<\/span><br \/>\n  <span class=\"a4h-line\"><\/span><br \/>\n  <span class=\"a4h-series\">4-Part Series<\/span>\n<\/div>\n<div class=\"a4h-title\">Maintaining Healthy Skin After Spinal Cord Injury: Daily Care &amp; Prevention<\/div>\n<div class=\"a4h-sub\">Prevention is not a single dramatic intervention. It is a collection of consistent, repeatable habits that replace the automatic protection your nervous system no longer provides. This is your complete daily action plan.<\/div>\n<div class=\"a4h-stats\">\n<div class=\"a4h-stat\">\n<div class=\"a4h-num\">12<\/div>\n<div class=\"a4h-lbl\">Daily practices<\/div>\n<\/p>\n<\/div>\n<div class=\"a4h-stat\">\n<div class=\"a4h-num\">6<\/div>\n<div class=\"a4h-lbl\">Nutrients for skin<\/div>\n<\/p>\n<\/div>\n<div class=\"a4h-stat\">\n<div class=\"a4h-num\">15 min<\/div>\n<div class=\"a4h-lbl\">Pressure release interval<\/div>\n<\/p>\n<\/div>\n<div class=\"a4h-stat\">\n<div class=\"a4h-num\">9<\/div>\n<div class=\"a4h-lbl\">Team members<\/div>\n<\/p>\n<\/div>\n<\/div>\n<p>&#8220;`<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1929897150 {\n  padding-top: \u201c0\u201d;\n  padding-bottom: \u201c0\u201d;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2072177216\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:\u201c1px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-482046207\">\n\n\n\t<div id=\"col-693432559\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div style=\"display:flex;align-items:center;flex-wrap:wrap;gap:6px;font-size:12px;color:#475569;\">\n  <a href=\"\/en\/\" style=\"color:#166534;text-decoration:none;\">Home<\/a><br \/>\n  <span style=\"opacity:.4;\">\/<\/span><br \/>\n  <a href=\"\/en\/5074-2\/\" style=\"color:#166534;text-decoration:none;\">Health<\/a><br \/>\n  <span style=\"opacity:.4;\">\/<\/span><br \/>\n  <span>Skin Care<\/span><br \/>\n  <span style=\"margin-left:auto;color:#64748B;\">\ud83d\udcc5 April 2026 \u00b7 \ud83d\udcd6 ~3,000 words \u00b7 15 min read<\/span>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2072177216 {\n  padding-top: \u201c10px\u201d;\n  padding-bottom: \u201c10px\u201d;\n  background-color: \u201d#F0FDF4\u201d;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1364530575\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1816714714\">\n\n\n\t<div id=\"col-876305927\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div style=\"background:#F0FDF4;border:1px solid #BBF7D0;border-radius:10px;padding:22px 26px;margin-bottom:28px;\">\n<p style=\"font-family:Georgia,serif;font-size:16px;font-weight:700;color:#14532D;margin:0 0 14px;\">\ud83d\udccb In This Article<\/p>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:5px 24px;\">\n<ol style=\"padding-left:18px;margin:0;font-size:13px;display:flex;flex-direction:column;gap:4px;\">\n<li><a href=\"#a4-defense\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">You Are the First Line of Defense<\/a><\/li>\n<li><a href=\"#a4-alarms\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Alarms &amp; Pressure Release Reminders<\/a><\/li>\n<li><a href=\"#a4-handwash\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Handwashing<\/a><\/li>\n<li><a href=\"#a4-hydration\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Hydration &amp; Hygiene<\/a><\/li>\n<li><a href=\"#a4-moisturize\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Moisturizing &amp; Callus Management<\/a><\/li>\n<li><a href=\"#a4-smoking\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Stop Smoking<\/a><\/li>\n<li><a href=\"#a4-nutrition\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Nutrition &amp; Weight Management<\/a><\/li>\n<\/ol>\n<ol start=\"8\" style=\"padding-left:18px;margin:0;font-size:13px;display:flex;flex-direction:column;gap:4px;\">\n<li><a href=\"#a4-movement\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Movement &amp; Exercise<\/a><\/li>\n<li><a href=\"#a4-inspection\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Skin Inspection<\/a><\/li>\n<li><a href=\"#a4-surfaces\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Pressure Reducing Surfaces<\/a><\/li>\n<li><a href=\"#a4-releases\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Pressure Releases<\/a><\/li>\n<li><a href=\"#a4-positioning\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Positioning &amp; Shearing<\/a><\/li>\n<li><a href=\"#a4-team\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Your Care Team<\/a><\/li>\n<li><a href=\"#a4-resources\" style=\"color:#166534;text-decoration:none;line-height:1.5;\">Resources<\/a><\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p style=\"font-size:17px;line-height:1.8;color:#475569;border-left:4px solid #166534;padding-left:20px;margin:0 0 44px;font-weight:300;\">Everything in the first three articles of this series leads here \u2014 the practical, daily work of keeping your skin intact. Prevention is a collection of consistent, repeatable habits that replace the automatic protection your nervous system no longer provides. These habits, applied consistently, are the difference between skin that stays intact and skin that breaks down.<\/p>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1364530575 {\n  padding-top: \u201c28px;\n  padding-bottom: \u201c28px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_63052076\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-76560858\">\n\n\n\t<div id=\"col-1667920369\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-defense\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">You Are the First Line of Defense<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 14px;\">After spinal cord injury, you become the primary caregiver for your own skin. Your nervous system can no longer send automatic signals \u2014 the itch, the discomfort, the urge to reposition \u2014 that once protected your skin without conscious effort. That protection now comes from you.<\/p>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">This is not a burden to resent. It is a skill to build. The people who manage their skin successfully after SCI are not the ones who found it easy \u2014 they are the ones who made these habits non-negotiable and acted quickly when they noticed something wrong.<\/p>\n<div style=\"background:#DCFCE7;border-left:4px solid #166534;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;margin:0 0 28px;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udcaa<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 5px;\">Prevention Works \u2014 And It Starts With You<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Pressure injuries and the majority of common skin problems after SCI are largely preventable \u2014 not partly. The practices in this article, applied consistently, are the difference between skin that stays intact and skin that breaks down.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 16px;\">Your 12 Daily Practices at a Glance<\/h3>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 8px;\">\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\u23f0<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Alarms &amp; Reminders<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Every 10\u201315 min<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Recurring alarms for pressure releases. Smartphone apps, smartwatch vibration, or environmental cues.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\ude4c<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Handwashing<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Before &amp; after hygiene tasks<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">20 seconds with warm water and soap. Before and after catheterization, dressing changes, and all personal care.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 8px;\">\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\udca7<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Hydration<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Throughout the day<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">6\u20138 glasses of water daily. Limit alcohol, sugar, and salt in drinks.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\udebf<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Hygiene &amp; Bathing<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Daily<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Warm water, mild soap, top-down technique. Rinse thoroughly. Pat dry. Inspect during bathing.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 8px;\">\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83e\uddf4<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Moisturize<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Daily after bathing<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Apply emollient moisturizer while skin is still slightly damp. Unscented preferred.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\udc41\ufe0f<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Skin Inspection<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Minimum twice daily<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">After waking and at end of day. Mirror or phone camera. Color change, texture, swelling, open areas.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 8px;\">\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\udd04<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Pressure Releases<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Every 10\u201315 min seated<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Push-up, forward lean, side lean, or power chair tilt. 60 seconds minimum. Every 2 hours in bed.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83e\udd57<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Nutrition<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Every meal<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Protein, zinc, vitamin C, vitamin A, iron, and adequate calories. Consult a dietician for your plan.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 8px;\">\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83c\udfcb\ufe0f<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Movement &amp; Exercise<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Daily<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Range of motion exercises for all body parts above and below the injury level.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\udcd0<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Positioning<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Every transfer<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Check body alignment every time you sit or lie. No wrinkles under contact surfaces.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;\">\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\u2b06\ufe0f<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Lift, Never Drag<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Every transfer<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Eliminate shearing by lifting the body clear of surfaces. Use transfer boards to assist.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-top:3px solid #166534;border-radius:10px;padding:16px;background:#fff;\">\n<div style=\"font-size:22px;margin-bottom:8px;\">\ud83d\udead<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 2px;\">Stop Smoking<\/p>\n<p style=\"font-size:10px;font-weight:700;color:#16A34A;text-transform:uppercase;letter-spacing:.06em;margin:0 0 6px;\">Permanently<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.6;margin:0;\">Nicotine displaces oxygen in blood, constricts peripheral vessels, and severely impairs wound healing.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_63052076 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_552833743\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1810609263\">\n\n\n\t<div id=\"col-1916524443\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-alarms\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Alarms &amp; Pressure Release Reminders<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">The most important single habit in SCI skin care is performing regular pressure releases \u2014 and the most reliable way to maintain this is an external reminder system. Without consistent reminders, releases are easily forgotten during busy or engaging activities.<\/p>\n<div style=\"display:flex;flex-direction:column;gap:10px;\">\n<div style=\"display:flex;align-items:flex-start;gap:12px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:34px;height:34px;border-radius:8px;background:#DCFCE7;display:flex;align-items:center;justify-content:center;font-size:16px;flex-shrink:0;\">\ud83d\udcf1<\/div>\n<div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 3px;\">Smartphone alarms &amp; apps<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Set recurring alarms at 10\u201315 minute intervals during waking hours. Several dedicated SCI apps provide customizable pressure release reminders with tracking and compliance history.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:12px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:34px;height:34px;border-radius:8px;background:#DCFCE7;display:flex;align-items:center;justify-content:center;font-size:16px;flex-shrink:0;\">\u231a<\/div>\n<div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 3px;\">Smartwatch vibration<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">A discreet vibration alert that does not interrupt conversations. Many wheelchair users find wrist-based reminders most effective, felt even when phone alarms are drowned out.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:12px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:34px;height:34px;border-radius:8px;background:#DCFCE7;display:flex;align-items:center;justify-content:center;font-size:16px;flex-shrink:0;\">\ud83c\udfe0<\/div>\n<div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 3px;\">Environmental cues<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">TV commercial breaks, clock chimes, or transitions between tasks serve as natural release triggers. Best as supplements to \u2014 not replacements for \u2014 timed reminders.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:12px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:34px;height:34px;border-radius:8px;background:#DCFCE7;display:flex;align-items:center;justify-content:center;font-size:16px;flex-shrink:0;\">\ud83d\udc64<\/div>\n<div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 3px;\">Caregiver prompts<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Establish a shared pressure release schedule with your caregiver. Include release timing in the written care plan for an additional accountability layer.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_552833743 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1300099459\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1618725554\">\n\n\n\t<div id=\"col-1262488286\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-handwash\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Handwashing<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">Hands are the primary vectors by which bacteria and viruses reach your body. Every surface you touch transfers microorganisms to your hands \u2014 and from there, to your face, catheter, skin care products, and every area you touch during personal care.<\/p>\n<div style=\"display:flex;flex-direction:column;gap:8px;margin:0 0 18px;\">\n<div style=\"display:flex;align-items:center;gap:12px;padding:11px 16px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:26px;height:26px;border-radius:50%;background:#166534;color:#fff;font-weight:700;font-size:12px;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">1<\/div>\n<p style=\"font-size:13px;color:#1E293B;margin:0;\">Wet hands with <strong>warm running water<\/strong><\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:12px;padding:11px 16px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:26px;height:26px;border-radius:50%;background:#166534;color:#fff;font-weight:700;font-size:12px;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">2<\/div>\n<p style=\"font-size:13px;color:#1E293B;margin:0;\">Apply mild soap \u2014 bar or liquid<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:12px;padding:11px 16px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:26px;height:26px;border-radius:50%;background:#166534;color:#fff;font-weight:700;font-size:12px;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">3<\/div>\n<p style=\"font-size:13px;color:#1E293B;margin:0;\">Lather thoroughly \u2014 between fingers, under fingernails, backs of hands<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:12px;padding:11px 16px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:26px;height:26px;border-radius:50%;background:#166534;color:#fff;font-weight:700;font-size:12px;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">4<\/div>\n<p style=\"font-size:13px;color:#1E293B;margin:0;\">Scrub for <strong>at least 20 seconds<\/strong> \u2014 sing Happy Birthday twice to time it<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:12px;padding:11px 16px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:26px;height:26px;border-radius:50%;background:#166534;color:#fff;font-weight:700;font-size:12px;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">5<\/div>\n<p style=\"font-size:13px;color:#1E293B;margin:0;\">Rinse completely under running water<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:12px;padding:11px 16px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:26px;height:26px;border-radius:50%;background:#166534;color:#fff;font-weight:700;font-size:12px;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">6<\/div>\n<p style=\"font-size:13px;color:#1E293B;margin:0;\">Dry with a clean towel or air dry<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"background:#E0F2FE;border-left:4px solid #0369A1;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\ude4c<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#0369A1;margin:0 0 5px;\">Critical Handwashing Moments After SCI<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Always wash before and after catheterization, wound dressing changes, and any personal hygiene procedure. When soap and water are unavailable, use alcohol-based hand sanitizer (minimum 60% alcohol) \u2014 though this does not replace thorough washing when hands are visibly soiled.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1300099459 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_464422452\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1643950797\">\n\n\n\t<div id=\"col-1217358057\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-hydration\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Hydration &amp; Hygiene<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 16px;\">The dermis requires adequate hydration to maintain elasticity, suppleness, and barrier function. After SCI, collagen loss already reduces the skin&#8217;s natural resilience \u2014 dehydration makes the skin more brittle and prone to cracking.<\/p>\n<div style=\"background:#DCFCE7;border-left:4px solid #166534;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;margin:0 0 20px;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udca7<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 5px;\">Water Is the Best Hydration Source<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Aim for 6\u20138 glasses (approximately 1.5\u20132 liters) daily, adjusted for your catheterization program and cardiac status. Alcohol dehydrates \u2014 it causes the body to lose more fluid than it takes in. Sugary and salty drinks alter the body&#8217;s ability to metabolize fluid effectively.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 12px;\">Bathing Technique<\/h3>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 16px;\">Daily bathing removes bacteria, dead skin cells, sweat, and contaminants. After SCI, it also stimulates circulation, assists skin cell turnover, and provides one of the most reliable daily inspection opportunities.<\/p>\n<div style=\"background:#FEF3C7;border-left:4px solid #D97706;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;margin:0 0 16px;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udebf<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#D97706;margin:0 0 5px;\">Top-Down Technique \u2014 Always<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Face first, then body, genitals and gluteal fold last. Warm (not hot) water. Mild pH-balanced soap. Rinse completely \u2014 soap residue causes contact dermatitis. Pat dry, especially in skin folds. Extra attention between toes, groin, beneath the abdomen, and behind knees where moisture accumulates.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size:15px;color:#1E293B;margin:0;\">After bathing while skin is still slightly damp, apply an emollient moisturizer to the entire body. Choose unscented or lightly scented products. Avoid products with alcohol as the primary base \u2014 these evaporate quickly and leave skin drier than before.<\/p>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_464422452 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1371857978\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-825957434\">\n\n\n\t<div id=\"col-721209886\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-moisturize\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Moisturizing &amp; Callus Management<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 14px;\">After bathing while skin is still slightly damp, apply an emollient moisturizer to the entire body. Choose unscented or lightly scented products. Avoid products with alcohol as the primary base \u2014 these evaporate quickly and leave skin drier than before.<\/p>\n<p style=\"font-size:15px;color:#1E293B;margin:0;\">For callus management, soak the area in warm water for 10\u201315 minutes, then buff gently with a towel or soft washcloth. <strong>Never reduce a callus quickly or with a sharp object<\/strong> \u2014 the skin beneath softens and will split open easily. Consult a podiatrist for large or thick calluses on the foot.<\/p>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1371857978 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_196813830\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-63660930\">\n\n\n\t<div id=\"col-9160995\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-smoking\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Stop Smoking<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 16px;\">Nicotine and the chemical compounds in cigarette smoke, e-cigarettes, cigars, pipes, and vaping products cause direct, measurable harm to the skin and to wound healing capacity.<\/p>\n<div style=\"background:#FFF1F2;border-left:4px solid #BE123C;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;margin:0 0 16px;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udead<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#BE123C;margin:0 0 5px;\">How Smoking Damages Skin After SCI<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Nicotine attaches to hemoglobin, displacing oxygen. Smoking constricts peripheral blood vessels \u2014 the exact system already compromised after SCI. Collagen production is reduced, immune response is suppressed, and capillary formation in healing tissue is diminished. For people with existing or healing pressure injuries, smoking can be the difference between a wound that heals and one that does not.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<p style=\"font-size:15px;color:#1E293B;margin:0;\">Talk with your healthcare provider about cessation support \u2014 nicotine replacement therapy, prescription medications (varenicline, bupropion), and behavioral counseling all significantly improve quit rates. If you have tried before and not succeeded, try again. The probability of successful cessation increases with each attempt.<\/p>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_196813830 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1126927687\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1642551915\">\n\n\n\t<div id=\"col-308052855\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-nutrition\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Nutrition &amp; Weight Management<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">The skin is built from what you eat. Adequate nutrition is essential not just for general health but specifically for skin integrity \u2014 and critically \u2014 for wound healing when skin does break down.<\/p>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 14px;\">Six Key Nutrients for Skin Health<\/h3>\n<div style=\"display:grid;grid-template-columns:repeat(3,1fr);gap:12px;margin:0 0 22px;\">\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;text-align:center;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83e\udd69<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 4px;\">Protein<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.5;margin:0 0 6px;\">Builds and repairs all tissue including collagen. Needs increase significantly during wound healing.<\/p>\n<p style=\"font-size:11px;color:#16A34A;font-style:italic;margin:0;\">Meat, poultry, fish, eggs, dairy, legumes<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;text-align:center;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83e\uddaa<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 4px;\">Zinc<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.5;margin:0 0 6px;\">Supports immune function and plays a direct role in wound healing and protein synthesis.<\/p>\n<p style=\"font-size:11px;color:#16A34A;font-style:italic;margin:0;\">Shellfish, meat, legumes, nuts, seeds<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;text-align:center;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83c\udf4a<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 4px;\">Vitamin C<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.5;margin:0 0 6px;\">Essential for collagen synthesis. The body cannot make collagen without it.<\/p>\n<p style=\"font-size:11px;color:#16A34A;font-style:italic;margin:0;\">Citrus, bell peppers, kiwi, strawberries<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;text-align:center;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83e\udd55<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 4px;\">Vitamin A<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.5;margin:0 0 6px;\">Supports skin cell production and differentiation \u2014 the ongoing renewal of the epidermis.<\/p>\n<p style=\"font-size:11px;color:#16A34A;font-style:italic;margin:0;\">Liver, eggs, dairy, orange\/yellow vegetables<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;text-align:center;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83e\udec0<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 4px;\">Iron<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.5;margin:0 0 6px;\">Required for oxygen transport in blood \u2014 delivering oxygen to skin cells and healing wounds.<\/p>\n<p style=\"font-size:11px;color:#16A34A;font-style:italic;margin:0;\">Red meat, poultry, fish, legumes, fortified grains<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;text-align:center;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83d\udca7<\/div>\n<p style=\"font-weight:700;font-size:13px;color:#14532D;margin:0 0 4px;\">Fluids<\/p>\n<p style=\"font-size:12px;color:#475569;line-height:1.5;margin:0 0 6px;\">Adequate internal hydration maintains skin moisture, elasticity, and barrier function.<\/p>\n<p style=\"font-size:11px;color:#16A34A;font-style:italic;margin:0;\">Water (primary), within catheterization limits<\/p>\n<\/p>\n<\/div>\n<\/div>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 14px;\">Weight: Both Extremes Present Risk<\/h3>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 16px;\">\n<div style=\"background:#FFF7ED;border-top:3px solid #D97706;border-radius:10px;padding:16px;\">\n<p style=\"font-weight:700;font-size:13px;color:#D97706;margin:0 0 6px;\">Too Thin<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Reduces soft tissue between bone and skin. Even pressure-reducing surfaces may not adequately protect bony prominences. Sit bones, tailbone, and heels are particularly vulnerable.<\/p>\n<\/p>\n<\/div>\n<div style=\"background:#FFF1F2;border-top:3px solid #BE123C;border-radius:10px;padding:16px;\">\n<p style=\"font-weight:700;font-size:13px;color:#BE123C;margin:0 0 6px;\">Excess Weight<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Excess fat compresses rather than disperses pressure. Skin folds in the groin, abdomen, and thighs create warm, moist environments prone to fungal and bacterial conditions.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"background:#FEF3C7;border-left:4px solid #D97706;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udca1<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#D97706;margin:0 0 5px;\">The Protruding Abdomen Is Usually Not Fat<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">The abdominal protrusion many people with SCI develop is most often caused by weakened or paralyzed abdominal muscles \u2014 not by excess body fat. This is a structural change, not a weight issue, and should not prompt unnecessary caloric restriction.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1126927687 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1141185109\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1137102992\">\n\n\n\t<div id=\"col-1263064130\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-movement\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Movement &amp; Exercise<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 16px;\">Movement is medicine for the skin. Every time the body moves, blood circulates, pressure is released, skin cells are stimulated, and spasticity is managed. Range of motion (ROM) exercises should be performed daily for all body parts \u2014 including and especially those below the level of injury.<\/p>\n<div style=\"background:#DCFCE7;border-left:4px solid #166534;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83c\udfcb\ufe0f<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 5px;\">Don&#8217;t Leave Body Parts Out of Your Routine<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">If you cannot perform ROM exercises independently, a caregiver should assist. For people pursuing active exercise programs: notice which body parts are not engaged. A hand-cycle workout exercises the upper body but provides no movement to the lower extremities. Add targeted ROM or passive movement for any areas your primary exercise does not reach.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1141185109 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1814763269\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-988703162\">\n\n\n\t<div id=\"col-652869236\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-inspection\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Skin Inspection<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 16px;\">Skin inspection is the foundational practice that makes everything else possible. Without knowing the current state of your skin, you cannot detect problems early. Without early detection, every condition has more time to worsen before treatment begins.<\/p>\n<div style=\"background:#DCFCE7;border-left:4px solid #166534;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;margin:0 0 20px;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udccb<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 5px;\">Minimum Twice Daily \u2014 Without Exception<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">After a night in bed (before getting up) and at the end of the day after sitting. Use a long-handled mirror or smartphone camera for hard-to-see areas. Good lighting is essential \u2014 dim light conceals early pigment changes.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 14px;\">What to Look For at Every Check<\/h3>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:8px;margin:0 0 18px;\">\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Color changes<\/strong> \u2014 redness, bluish\/purplish discoloration, pallor, or new pigmentation<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Texture changes<\/strong> \u2014 new scaling, thickening, dryness, or unusual smoothness<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Swelling or edema<\/strong> \u2014 at or around bony prominences or in the extremities<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Temperature differences<\/strong> \u2014 area warmer or cooler than surrounding skin<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Open areas<\/strong> \u2014 blisters, tears, scratches, or abrasions, no matter how small<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Moisture damage<\/strong> \u2014 skin appearing waterlogged, pale, or eroded from incontinence contact<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Changing spots<\/strong> \u2014 any mark that is growing, changing color, or developing irregular borders<\/p>\n<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:9px;padding:11px 14px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:22px;height:22px;border-radius:5px;background:#166534;color:#fff;font-size:11px;font-weight:700;display:flex;align-items:center;justify-content:center;flex-shrink:0;\">\u2713<\/div>\n<p style=\"font-size:13px;color:#1E293B;line-height:1.55;margin:0;\"><strong>Unusual odor<\/strong> \u2014 particularly in skin folds or incontinence product areas<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"background:#FFF1F2;border-left:4px solid #BE123C;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udea8<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#BE123C;margin:0 0 5px;\">If You See Something \u2014 Act Immediately<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Stay off the area. Do not wait to see if it gets better on its own. Contact your healthcare provider. Time matters enormously \u2014 an early-stage change treated promptly is a minor intervention. The same change left undetected for days becomes a wound that may take months to resolve.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1814763269 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2108253530\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-2075419485\">\n\n\n\t<div id=\"col-1643532843\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-surfaces\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Pressure Reducing Surfaces<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">Pressure reducing surfaces distribute body weight over the largest possible surface area, reducing peak pressure at bony prominences. Selection should be made with your physical therapist, occupational therapist, and physiatrist.<\/p>\n<div style=\"display:flex;flex-direction:column;gap:10px;margin:0 0 18px;\">\n<div style=\"display:flex;align-items:flex-start;gap:14px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:10px;height:10px;border-radius:50%;background:#166534;flex-shrink:0;margin-top:6px;\"><\/div>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 3px;\">Medical grade foam<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Contoured, dense foam that conforms to the body&#8217;s shape. Not craft foam or standard mattress foam \u2014 those compress completely and may increase pressure.<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:14px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:10px;height:10px;border-radius:50%;background:#166534;flex-shrink:0;margin-top:6px;\"><\/div>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 3px;\">Gel<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Viscous material that flows to conform to body contours, providing consistent pressure distribution. Often heavier than foam alternatives.<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:14px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:10px;height:10px;border-radius:50%;background:#166534;flex-shrink:0;margin-top:6px;\"><\/div>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 3px;\">Air-filled (static or alternating pressure)<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Static: constant air pressure conforming to body shape. Alternating: automatically shifts load between areas, providing built-in pressure relief.<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:14px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:10px;height:10px;border-radius:50%;background:#166534;flex-shrink:0;margin-top:6px;\"><\/div>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 3px;\">Honeycombed or chambered designs<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Allow air to flow between zones as the body moves, creating dynamic pressure distribution without active power requirements.<\/p>\n<\/div>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:14px;padding:14px 18px;background:#F0FDF4;border-radius:8px;border:1px solid #BBF7D0;\">\n<div style=\"width:10px;height:10px;border-radius:50%;background:#166534;flex-shrink:0;margin-top:6px;\"><\/div>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 3px;\">Mechanical or powered surfaces<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Beds and cushions that automatically rotate, tilt, or alter their configuration on a programmed schedule. Assist but do not replace manual pressure releases.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"background:#FEF3C7;border-left:4px solid #D97706;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;margin:0 0 20px;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\u26a0\ufe0f<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#D97706;margin:0 0 5px;\">Pressure Reducing \u2014 Not Pressure Eliminating<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">No device eliminates all pressure. Pressure releases must still be performed on schedule. Nothing should come between you and your pressure reducing surface except your clothing \u2014 pillows, folded blankets, and additional cushions compress and concentrate pressure.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 12px;\">Pressure Mapping Color Key<\/h3>\n<div style=\"display:flex;flex-wrap:wrap;gap:14px;\">\n<div style=\"display:flex;align-items:center;gap:6px;font-size:13px;color:#475569;\">\n<div style=\"width:14px;height:14px;border-radius:3px;background:#2563EB;flex-shrink:0;\"><\/div>\n<p>Blue \u2014 excellent dispersal<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:6px;font-size:13px;color:#475569;\">\n<div style=\"width:14px;height:14px;border-radius:3px;background:#16A34A;flex-shrink:0;\"><\/div>\n<p>Green \u2014 good<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:6px;font-size:13px;color:#475569;\">\n<div style=\"width:14px;height:14px;border-radius:3px;background:#EAB308;flex-shrink:0;\"><\/div>\n<p>Yellow \u2014 acceptable<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:6px;font-size:13px;color:#475569;\">\n<div style=\"width:14px;height:14px;border-radius:3px;background:#EA580C;flex-shrink:0;\"><\/div>\n<p>Orange \u2014 needs adjustment<\/p>\n<\/div>\n<div style=\"display:flex;align-items:center;gap:6px;font-size:13px;color:#475569;\">\n<div style=\"width:14px;height:14px;border-radius:3px;background:#DC2626;flex-shrink:0;\"><\/div>\n<p>Red \u2014 act now<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2108253530 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_218931069\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-47688559\">\n\n\n\t<div id=\"col-1133245824\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-releases\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Pressure Releases<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">Pressure releases are the single most important active intervention for preventing pressure injury in wheelchair users. They must be performed <strong>every 10 to 15 minutes for at least 60 seconds<\/strong> throughout the day while seated. In bed, full turns must occur at least every two hours.<\/p>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 18px;\">\n<div style=\"border:1px solid #E2E8F0;border-left:3px solid #166534;border-radius:10px;padding:18px;background:#fff;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\u2b06\ufe0f<\/div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 6px;\">Push-Up Release<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Place hands on armrests or wheelchair frame and push the body fully up off the seat surface. Weight should be lifted completely clear of the cushion for at least 60 seconds.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-left:3px solid #166534;border-radius:10px;padding:18px;background:#fff;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\u2194\ufe0f<\/div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 6px;\">Side Lean<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Lean the body to one side (supporting on armrest if needed), lifting the opposite sitting bone completely off the surface. Alternate sides with each release.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-left:3px solid #166534;border-radius:10px;padding:18px;background:#fff;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\u2199\ufe0f<\/div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 6px;\">Forward Lean<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Lean the torso forward significantly over the knees, shifting weight off the sitting bones and tailbone. The lean must be substantial \u2014 a small forward incline does not adequately offload the sacrum.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-left:3px solid #166534;border-radius:10px;padding:18px;background:#fff;\">\n<div style=\"font-size:24px;margin-bottom:8px;\">\ud83d\udd04<\/div>\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 6px;\">Power Chair Tilt<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">The tilt feature reclines the entire seat backward, transferring weight from sitting bones to the back surface. A full tilt release should reach approximately 45 degrees or greater.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"background:#E0F2FE;border-left:4px solid #0369A1;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83c\udf19<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#0369A1;margin:0 0 5px;\">Nighttime Repositioning<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">During sleep, the body cannot reposition itself. Full repositioning must be scheduled externally every two hours \u2014 supine to left lateral to supine to right lateral. Each position requires pressure-reducing supports at bony contact points, adjusted with every turn. Alternating pressure mattresses assist but do not replace scheduled turning.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_218931069 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1822048006\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-502624216\">\n\n\n\t<div id=\"col-416911585\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-positioning\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Positioning &amp; Shearing<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">Positioning is the practice of arranging the body in its most anatomically natural posture whenever sitting or lying. Correct positioning distributes pressure, maintains joint health, supports breathing and digestion, and helps prevent secondary complications including scoliosis and hip subluxation.<\/p>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 24px;\">\n<div style=\"background:#E0F2FE;border-top:3px solid #0369A1;border-radius:10px;padding:18px;\">\n<p style=\"font-weight:700;font-size:14px;color:#0369A1;margin:0 0 10px;\">Seated Positioning Principles<\/p>\n<div style=\"display:flex;flex-direction:column;gap:6px;\">\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Hips at 90 degrees<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Knees at 90 degrees<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Feet fully supported on footrests<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Trunk upright with back support<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Head neutral \u2014 not flexed or extended<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Armrests supporting arms without elevating shoulders<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"background:#DCFCE7;border-top:3px solid #166534;border-radius:10px;padding:18px;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 10px;\">Lying Positioning Principles<\/p>\n<div style=\"display:flex;flex-direction:column;gap:6px;\">\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Alternate supine and lateral every 2 hours<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Heels completely offloaded \u2014 never resting on mattress<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Knee-to-knee and ankle-to-ankle prominences padded<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Positioning wedges to maintain lateral positions<\/p>\n<\/div>\n<div style=\"display:flex;align-items:flex-start;gap:8px;\"><span style=\"color:#166534;font-weight:700;flex-shrink:0;\">\u2192<\/span><\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.5;margin:0;\">Head and ears protected with appropriate surface<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h3 style=\"font-family:Georgia,serif;font-size:20px;font-weight:700;color:#1E293B;margin:0 0 14px;\">Shearing: Always Lift, Never Drag<\/h3>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:12px;margin:0 0 16px;\">\n<div style=\"background:#FFF1F2;border-top:3px solid #BE123C;border-radius:10px;padding:18px;\">\n<p style=\"font-weight:700;font-size:14px;color:#BE123C;margin:0 0 8px;\">Dragging \u2014 Causes Shearing<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Sliding the body across a surface creates lateral forces. The epidermis and dermis are forced in opposite directions and can separate \u2014 even a small shearing injury creates a bacterial entry point and can trigger autonomic dysreflexia.<\/p>\n<\/p>\n<\/div>\n<div style=\"background:#DCFCE7;border-top:3px solid #166534;border-radius:10px;padding:18px;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 8px;\">Lifting \u2014 Eliminates Shearing<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Raising the body completely clear of the surface before moving eliminates shearing forces entirely. Use transfer boards to assist when needed \u2014 but minimize sliding. Lift limbs clear rather than dragging clothing over skin.<\/p>\n<\/p>\n<\/div>\n<\/div>\n<div style=\"background:#FEF3C7;border-left:4px solid #D97706;border-radius:0 8px 8px 0;padding:16px 20px;display:flex;gap:14px;align-items:flex-start;\">\n  <span style=\"font-size:22px;flex-shrink:0;line-height:1;\">\ud83d\udcd0<\/span><\/p>\n<div>\n<p style=\"font-weight:700;font-size:14px;color:#D97706;margin:0 0 5px;\">Check for Wrinkles Before Every Transfer<\/p>\n<p style=\"font-size:13px;line-height:1.65;color:#1E293B;margin:0;\">Run a hand over the entire contact area to check for wrinkles in sheets, clothing, incontinence pads, or chair covers. Any fold creates a pressure ridge. Also check for objects in pockets, catheter tubing between body and seat, and clothing seams over bony prominences.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1822048006 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2100363123\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-992433868\">\n\n\n\t<div id=\"col-2138774770\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div id=\"a4-team\"><\/div>\n<h2 style=\"font-family:Georgia,serif;font-size:26px;font-weight:700;color:#14532D;padding-bottom:10px;border-bottom:2px solid #DCFCE7;margin:0 0 16px;\">Your Care Team<\/h2>\n<p style=\"font-size:15px;color:#1E293B;margin:0 0 18px;\">Skin health after SCI is a team effort. Your role is primary and daily \u2014 but these professionals are your partners at every stage of prevention, assessment, and treatment.<\/p>\n<div style=\"display:grid;grid-template-columns:1fr 1fr;gap:10px;\">\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Physiatrist<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Medical leader of your rehabilitation team, overseeing overall health management and directing care for your injury level and secondary conditions.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Wound Care Physician \/ Plastic Surgeon<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Directs specialist wound treatment plans. Referral does not automatically mean surgery \u2014 the majority of pressure injuries are managed without surgical intervention.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Wound Care Nurse (WOC Nurse)<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Assesses skin and equipment at every visit, performs dressing changes, monitors healing, and teaches you or your caregiver home wound care techniques.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Physical Therapist<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Prescribes equipment, teaches safe movement techniques, performs pressure mapping, and in many settings takes an active role in wound treatment.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Occupational Therapist<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Supports your ability to independently perform skin inspection routines, bathing adaptations, and transfer techniques.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Dietician<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Assesses nutritional status through blood testing and food diaries. Develops a personalized plan that supports skin integrity and optimizes wound healing nutrients.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Insurance Nurse Case Manager<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Helps navigate authorization and procurement of specialized equipment, wound care supplies, and therapy services. A valuable advocate for your resources.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Psychologist \/ Counselor<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Helps you develop coping strategies, maintain motivation, and process the emotional dimensions of living with a body that requires this level of daily attention.<\/p>\n<\/p>\n<\/div>\n<div style=\"border:1px solid #E2E8F0;border-radius:10px;padding:16px;background:#fff;\">\n<p style=\"font-weight:700;font-size:14px;color:#14532D;margin:0 0 4px;\">Vocational Counselor<\/p>\n<p style=\"font-size:13px;color:#475569;line-height:1.6;margin:0;\">Supports continued participation in meaningful work when skin care needs require changes to your work schedule or environment.<\/p>\n<\/p>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2100363123 {\n  padding-top: \u201c0;\n  padding-bottom: \u201c0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_796970451\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-2092965097\">\n\n\n\t<div id=\"col-218303336\" class=\"col large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<style>\n.a4res{background:#14532D;padding:36px 40px;}\n.a4res *{box-sizing:border-box;margin:0;padding:0;}\n.a4res-title{font-family:Georgia,serif;font-size:22px;font-weight:700;color:#fff;margin-bottom:18px;}\n.a4res-list{display:flex;flex-direction:column;gap:14px;}\n.a4res-name{font-weight:700;font-size:14px;color:#fff;margin-bottom:3px;}\n.a4res-detail{font-size:13px;color:rgba(255,255,255,.7);margin:0;}\n.a4res a{font-size:13px;color:rgba(255,255,255,.7);text-decoration:none;}\n.a4res a:hover{color:#fff;}\n@media(max-width:600px){.a4res{padding:28px 20px;}}\n<\/style>\n<div class=\"a4res\">\n<div id=\"a4-resources\" class=\"a4res-title\">Consumer Resources &amp; Clinical Guidelines<\/div>\n<div class=\"a4res-list\">\n<div>\n<div class=\"a4res-name\">Reeve Foundation Information Specialists<\/div>\n<p class=\"a4res-detail\">800-539-7309 \u00b7 Monday\u2013Friday \u00b7 9:00 am to 8:00 pm ET \u00b7 Toll-free, confidential<\/p>\n<\/p><\/div>\n<div>\n<div class=\"a4res-name\">National Pressure Injury Advisory Panel (NPIAP)<\/div>\n<p>      <a href=\"https:\/\/npiap.com\/page\/FreeMaterials\" target=\"_blank\" rel=\"noopener\">https:\/\/npiap.com \u2014 Free staging guides, clinical tools, and materials<\/a>\n    <\/div>\n<div>\n<div class=\"a4res-name\">Paralyzed Veterans of America \u2014 Clinical Practice Guideline<\/div>\n<p>      <a href=\"https:\/\/www.pva.org\" target=\"_blank\" rel=\"noopener\">www.pva.org \u2014 Free download: Pressure Ulcer Prevention &amp; Treatment Following SCI<\/a>\n    <\/div>\n<div>\n<div class=\"a4res-name\">SCIRE Project \u2014 Evidence-Based SCI Treatment<\/div>\n<p>      <a href=\"http:\/\/scireproject.com\" target=\"_blank\" rel=\"noopener\">http:\/\/scireproject.com<\/a>\n    <\/div>\n<\/p><\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_796970451 {\n  padding-top: 0;\n  padding-bottom: 0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_910494087\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-887039789\">\n\n\n\t<div id=\"col-1488584814\" class=\"col large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<style>\n.a4tk{background:#166534;padding:36px 40px;}\n.a4tk *{box-sizing:border-box;margin:0;padding:0;}\n.a4tk-title{font-family:Georgia,serif;font-size:22px;font-weight:700;color:#fff;margin-bottom:18px;}\n.a4tk-list{display:flex;flex-direction:column;gap:12px;}\n.a4tk-item{display:flex;align-items:flex-start;gap:12px;}\n.a4tk-dot{width:8px;height:8px;border-radius:50%;background:rgba(255,255,255,.4);flex-shrink:0;margin-top:7px;}\n.a4tk-text{font-size:14px;line-height:1.7;color:rgba(255,255,255,.9);}\n@media(max-width:600px){.a4tk{padding:28px 20px;}}\n<\/style>\n<div class=\"a4tk\">\n<div class=\"a4tk-title\">Key Takeaways<\/div>\n<div class=\"a4tk-list\">\n<div class=\"a4tk-item\">\n<div class=\"a4tk-dot\"><\/div>\n<div class=\"a4tk-text\">Pressure injuries and the majority of common skin problems after SCI are largely preventable \u2014 with consistent daily habits that replace the automatic protection the nervous system no longer provides.<\/div>\n<\/p><\/div>\n<div class=\"a4tk-item\">\n<div class=\"a4tk-dot\"><\/div>\n<div class=\"a4tk-text\">No single habit is optional. Alarms ensure pressure releases happen. Inspection detects problems early. Nutrition and hydration maintain the skin&#8217;s building materials. Lifting prevents shearing. Each one supports the others.<\/div>\n<\/p><\/div>\n<div class=\"a4tk-item\">\n<div class=\"a4tk-dot\"><\/div>\n<div class=\"a4tk-text\">Pressure releases every 10\u201315 minutes while seated and full turns every 2 hours in bed are the non-negotiable mechanical requirements. No piece of equipment replaces them.<\/div>\n<\/p><\/div>\n<div class=\"a4tk-item\">\n<div class=\"a4tk-dot\"><\/div>\n<div class=\"a4tk-text\">Your care team are your partners \u2014 but between visits and caregiver shifts, the daily work belongs to you. The owner of your skin is the person most invested in keeping it intact.<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_910494087 {\n  padding-top: 0;\n  padding-bottom: 0;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1715680788\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:\u201c1px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-420671182\">\n\n\n\t<div id=\"col-1565437500\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<p style=\"font-size:10px;font-weight:700;text-transform:uppercase;letter-spacing:.1em;color:#14532D;margin:0;\">\ud83d\udcda SCI Skin Care \u2014 4-Part Series<\/p>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1565437500 > .col-inner {\n  padding: \u201c10px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n<div class=\"row\"  id=\"row-522668112\">\n\n\n\t<div id=\"col-1085572429\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:#E2E8F0;border-width:0 1px 0 0;\">\n\t<\/div>\n\t\t\t\n\n<p style=\"font-size:10px;color:#166534;font-weight:700;text-transform:uppercase;letter-spacing:.08em;margin:0 0 3px;\">Article 1<\/p>\n<p style=\"font-weight:600;font-size:13px;color:#1E293B;margin:0;\">Understanding Your Skin After SCI<\/p>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1085572429 > .col-inner {\n  padding: 14px 16px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1590429412\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:#E2E8F0;border-width:0 1px 0 0;\">\n\t<\/div>\n\t\t\t\n\n<p style=\"font-size:10px;color:#166534;font-weight:700;text-transform:uppercase;letter-spacing:.08em;margin:0 0 3px;\">Article 2<\/p>\n<p style=\"font-weight:600;font-size:13px;color:#1E293B;margin:0;\">Common Skin Conditions After SCI<\/p>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1590429412 > .col-inner {\n  padding: 14px 16px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1920204760\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:#E2E8F0;border-width:0 1px 0 0;\">\n\t<\/div>\n\t\t\t\n\n<p style=\"font-size:10px;color:#166534;font-weight:700;text-transform:uppercase;letter-spacing:.08em;margin:0 0 3px;\">Article 3<\/p>\n<p style=\"font-weight:600;font-size:13px;color:#1E293B;margin:0;\">Pressure Injury: Staging &amp; Treatment<\/p>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1920204760 > .col-inner {\n  padding: 14px 16px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1071619589\" class=\"col medium-3 small-6 large-3\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<p style=\"font-size:10px;color:#166534;font-weight:700;text-transform:uppercase;letter-spacing:.08em;margin:0 0 3px;\">Article 4<\/p>\n<p style=\"font-weight:600;font-size:13px;color:#14532D;margin:0 0 5px;\">Daily Prevention &amp; Skin Care Routines<\/p>\n<p><span style=\"display:inline-block;font-size:10px;font-weight:700;padding:2px 9px;border-radius:12px;background:#166534;color:#fff;\">You are here<\/span><\/p>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1071619589 > .col-inner {\n  padding: 14px 16px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1715680788 {\n  padding-top: \u201c0\u201d;\n  padding-bottom: \u201c0\u201d;\n  margin-bottom: \u201c20px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1950112797\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:\u201d#E2E8F0\u201d;border-width:\u201c1px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1164930330\">\n\n\n\t<div id=\"col-218176459\" class=\"col medium-\u201c12\u201d large-\u201c12\u201d\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<p style=\"font-size:12px;color:#64748B;line-height:1.7;margin:0;\">For more information, contact the Reeve Foundation Information Specialists at 800-539-7309, Monday\u2013Friday, 9:00 am to 8:00 pm ET.<br \/>The National Paralysis Resource Center is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS). \u00b7 Christopher &amp; Dana Reeve Foundation \u00a9 2026<\/p>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1950112797 {\n  padding-top: \u201c16px;\n  padding-bottom: \u201c16px;\n}\n<\/style>\n\t<\/section>\n\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5193","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/pages\/5193","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/comments?post=5193"}],"version-history":[{"count":11,"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/pages\/5193\/revisions"}],"predecessor-version":[{"id":5214,"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/pages\/5193\/revisions\/5214"}],"wp:attachment":[{"href":"https:\/\/accesslife.co\/en\/wp-json\/wp\/v2\/media?parent=5193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}