S - SKIN INTEGRITY
Consider ultrasound imaging of the tissue to confirm and monitor with suspected deep tissue injury. (Adapted from PU-ONF 2013, p.20; Level B)
Use pressure mapping results in conjunction with clinical findings and the individual's preference to provide education, assess support surfaces and optimize the type and duration of position changes. (CAN-SCIP 2020; Level C)
Determine and reassess the goals of care and healability of the pressure injury with the individual with SCI and the care team. (Adapted from WOUNDCAN 2017, p.8; Level C)