Skin care and air travel

The development of a skin problem during travel is difficult to manage, especially if bed rest is required for healing.

Boarding the aircraft

• Preparation with the airline: Inform the airline of the needs of the person when booking the flight. Ask for an aisle seat with removable armrests and check hoist availability.
• Time on aircraft: People who require assistance are first to board the aircraft and the last to disembark so consider the extra time required when planning the trip.
• Transfers: Several transfers may be required, and these can be difficult due to unfamiliar environments. Ask for assistance from airline staff as necessary.
• Access to a wheelchair: Advise the airline staff of the need to remain in the person’s own wheelchair. Airline wheelchairs are narrow and will not provide adequate postural support or pressure care. Airline chairs should only be used to access the aircraft, not for waiting to board the flight. The wheelchair will be stored under the aircraft during the flight. Ensure any loose or removable fittings are secured.
• Access to cushion: Take the cushion on the plane, even if the person does not intend to sit on it. Cushions are easily separated from wheelchairs in transit.

During the flight

• Using a cushion: If the flight is longer than a couple of hours, it may be advisable to sit on a pressure redistribution cushion during the flight. Inflation of an air cushion such as a Roho may need to be adjusted with changes in altitude, even within a pressurised cabin. Take the cushion pump on board to adjust as required. Wait until the aircraft is at its cruising altitude to adjust. (Please note that the pressure inside the cushion will increase on ascent and decrease on descent). Readjust the cushion inflation when the aircraft has landed.
• Pressure relief: Even if using a cushion, pressure should be redistributed by lifting or leaning on a regular basis. Leaning forwards is a useful way of redistributing pressure.
• Oedema: Air travel can increase the risk of oedema and swelling in the legs and feet. Loosen leg straps or shoe laces as well as the need for compression stockings in conjunction with elevating the feet as able.
• Hydration: Ensure adequate hydration to maintain skin integrity.
• Continence plan: Consider how the bowel and bladder will be managed during travelling. Consider the timing of the flight and bowel routines, change in diet and medications. Depending on the length of the flight, an indwelling catheter could be considered for the journey.