How do people in wheelchairs not get bed sores?

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They would, but they move. They aren’t in the same position without moving all day, they move to the toilet, get dressed and undressed, and switch to other chairs.

Bed sores result from pressure on the skin in the same way over long periods of time. If somebody is in a wheelchair they are most likely moving off it a few times a day (e.g. on/off the chair to use the restroom, move to the bed for the night etc.). Moreover, if they are using the wheelchair due to a leg condition (edit: as opposed to say paralysis due to a spinal injury/ disease), they might move around, or change their position on their seats as well. In general, this results in enough relief to the skin that bed sores aren’t an issue.

There could be situations e.g. if somebody’s paralyzed from the neck down, where the attendants might have to watch out for bed sores, but mostly it is only a concern for patients who are bed-ridden in the same position, or unconscious, for days or months.

You have gotten some good answers here but it’s worth mentioning that most people who use wheelchairs have some use of their legs and aren’t completely paralyzed. Sometimes it’s a balance issue, sometimes it’s a chronic pain issue where the person can’t sustain walking all day.

They can, and they can quite quickly. To avoid pressure sores a wheelchair user may change positions frequently (as others have mentioned), but also by adding cushioning to pressure points. This might look like foam padding, gel padding, air cushions etc.