S - SKIN INTEGRITY






Upon identification of a pressure injury, perform an initial comprehensive assessment of the individual with a pressure injury, to include the following:

  1. complete history and physical examination
  2. complete skin assessment
  3. laboratory tests (evaluate for infection and nutritional status)
  4. psychological health, behaviour, cognitive status, and social and financial resources
  5. availability and utilization of personal care assistance
  6. positioning, posture, and equipment (e.g., wheelchair)
  7. nutritional status
  8. activities of daily living (ADLs), mobility, and transfer skills, as related to maintaining skin integrity
  9. Home or living environment assessment
(Adapted from PU-PVA 2014, p.29; Level C)
In the community, if a new pressure injury is identified, a primary care provider should be contacted immediately to initiate a care plan and make a referral to an SCI healthcare professional. (CAN-SCIP 2020, Level C)