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What factors increase pressure injury risk after SCI?
Immobility
Decreased/absent sensation
Prolonged pressure
Shearing
Poor positioning
Poor nutrition
What are common pressure injury locations?
Sacrum
Coccyx
Ischial tuberosities
Greater trochanters
Heels
Malleoli
Elbows
Scapulae
What are early signs of a pressure injury?
Persistent redness
Open area of skin
Skin breakdown
Area over bony prominence is common
What are the main pressure injury prevention strategies?
Frequent repositioning
Pressure-relieving cushions
Skin inspection
Proper skin care
Adequate nutrition/hydration
Minimize shear forces
How often should wheelchair pressure relief generally occur?
Frequent weight shifting
Commonly approximately every 15–20 minutes
Reposition regularly in bed
Follow individual pressure-relief plan