S - SKIN INTEGRITY






Conduct an assessment of pressure injury risk factors in individuals with SCI on admission and reassess on a routine basis, as determined by the healthcare setting, institutional guidelines, and changes in the individual's health status.

  1. demographic
  2. SCI-related, such as incontinence
  3. comorbid medical
  4. nutritional
  5. psychological, cognitive, contextual, and social
  6. support surface for bed, wheelchair, and all durable medical equipment surfaces, such as shower/commode chair or bathroom equipment related. Use both a validated risk-assessment tool and clinical judgment to assess risk.
(PU-PVA 2014, p.11; Level A-C)