E. Axiom AS and Axiom ASP - Bottoming Out
WARNING: If bottoming out is detected or you are unsure whether you are bottoming,
discontinue the use of this product immediately and consult with your authorized Ki
Mobility supplier or your clinician. Failure to do so can affect your skin integrity, resulting
in serious injury or death.
Bottoming out may occur on an Axiom AS or Axiom ASP cushion if you displace all the fluid
underneath your pelvic bones or buttocks, which would leave you sitting on the foam base. It
sometimes occurs on very thin individuals, people using recliner wheelchairs, people who
have lost weight or have other changes in body size or shape, or people who slouch when
sitting.
To check for bottoming out, first make sure all other instructions for fitting the cushion and
wheelchair are complete. Then sit on the cushion, with the cover on for five to ten 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 pad. Push down in the depressions on the pad where your ischial tuberosities (seat
bones) and coccyx (tailbone) were. You should have to push through at least .5" (12.5 mm) of
fluid before you feel the firm cushion base below.
Changes to the cushion and changes to your body occur over time and you should check for
bottoming out at least monthly.
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