Abstract: A combined and laminated padded cushioning device, adapted for use as a mattress, chair cushion or wheelchair pad, includes layers of varied densities of padding, each layer of padding having cut-out portions, depending on the therapeutic requirements of a user, the cut-out portions either being hollow voids or being filled with encapsulated gel cushions to provide additional support for affected areas on the user, again depending on the therapeutic needs of the user. The multiple padding layers are bonded together through a fabric mesh for secure bonding and strength of adhesion, and one or more removable fabric covers are applied to the cushioning device to be periodically washed and to protect the foam from wear or soiling.