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Preventing pressure ulcers is ultimately the best approach and begins at the time of injury. Lifelong prevention recommendations include examining skin daily to allow for early detection of a pressure ulcer, shifting body weight in bed and wheelchair on a regular basis independently or with assistance, keeping moisture accumulation to a minimum and cleaning and drying skin promptly after soiling, having an individually prescribed wheelchair, pressure redistribution cushion and power tilt mechanism if manual pressure relief is not possible, ensuring all equipment is maintained and functioning properly, decreasing or stopping smoking and limiting alcohol intake (Consortium for Spinal Cord Medicine 2000; Houghton et al. 2013).