What can occur if a patient is not repositioned in a wheelchair for over one hour?

When a patient remains in a wheelchair for over an hour without being repositioned, the risk of skin integrity issues becomes significant, particularly the development of pressure injuries. Pressure injuries, also known as bedsores or pressure ulcers, occur due to prolonged pressure on the skin, which can impede blood flow to the underlying tissues. In a seated position, certain areas of the body, such as the sacrum, heels, and hips, are particularly vulnerable to pressure.

Regular repositioning helps redistribute weight and relieve pressure on these high-risk areas, promoting better circulation and reducing the likelihood of injury. Therefore, it is crucial for caregivers to actively assist patients in changing positions at regular intervals to maintain skin health and prevent complications.