Q1. What are the risk factors for developing pressure ulcers in persons with SCI?
1. Risk factors that have been identified most often include: limitation in activity and mobility, injury completeness, moisture from bowel and bladder incontinence, lack of sensation, muscle atrophy, poor nutritional status and being underweight. Studies have also found that those most likely to develop pressure ulcers are male, have lower levels of education, are unemployed and do not practice standing. Mrs. AJ has high risk due to the combination of advancing age, SCI, malnutrition, immobility, depression, amenia, hypotension, and hypothyroidism (figure 4).
Figure 4. Common pressure points for wound formation.