Anti-thrombotic prophylaxis

• Anti-thrombotic stockings should be used in all children >10 years, until lower limbs can move freely.
• Consider using low dose heparin in children > 12 Years.

Skin care and Hygiene

• The patient must be nursed in an appropriate pressure care bed and turned regularly to prevent pressure sores.
• Assistance in daily hygiene care may be required on a temporary or longer term basis. Many patients will have difficulty in washing, using the lavatory, brushing their hair and cleaning their teeth (an electric toothbrush may be helpful).
• Eye Care is important
• Teeth are often neglected and a dental appointment should be made soon after discharge.