E. Axiom SP Fluid - Bottoming Out
Bottoming may occur on an Axiom SP Fluid 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 and the zipper opened, for
seven 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 ½" (1.3 cm) of
fluid before you feel the firm cushion base below.
Changes to the cushion and changes in your body occur over time and you should check for
bottoming out at least monthly.
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.
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