S - SKIN INTEGRITY
An individual with SCI and their care team, if appropriate, should perform a comprehensive assessment of posture and positioning to evaluate pressure injury risk when using new surfaces or identifying a new pressure injury. Consider all surfaces in both recumbent and sitting positions that an individual uses to participate in daily activities over the entire 24-hour period. (Adapted from PU-ONF 2013, p.70; Level C)
Evaluate the progress of healing using an instrument or quantitative measure that has been shown responsive to change in wound status, such as acetate tracing, the Photographic Wound Assessment Tool (PWAT) or the Pressure Ulcer Scale for Healing (PUSH). (PU-ONF 2013, p.158; Level A)