Document Detail

Preventing pressure ulcers in people with spinal cord injury: targeting risky life circumstances through community-based interventions.
MedLine Citation:
PMID:  21586911     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objectives of the study were to sensitize practitioners working with individuals with spinal cord injury (SCI) to the complex life circumstances that are implicated in the development of pressure ulcers (PrUs) and to document the ways that interventions can be adapted to target individual needs.
METHODS: This study was a content analysis of weekly fidelity/quality control meetings that were undertaken as part of a lifestyle intervention for PrU prevention in community-dwelling adults with SCI.
RESULTS: Four types of lifestyle-relevant challenges to ulcer prevention were identified: risk-elevating life circumstances, communication difficulties, equipment problems, and individual personality issues. Intervention flexibility was achieved by changing the order of treatment modules, altering the intervention content or delivery approach, or going beyond the stipulated content.
CONCLUSION: Attention to recurrent types of individual needs, along with explicit strategies for tailoring interventions published in a manual, has the potential to enhance PrU prevention efforts for adults with SCI.
Ashwini Vaishampayan; Florence Clark; Mike Carlson; Erna Imperatore Blanche
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  24     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-18     Completed Date:  2011-09-27     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  275-84; quiz 285-6     Citation Subset:  N    
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MeSH Terms
Clinical Competence*
Community Health Services*
Life Style
Pressure Ulcer / etiology,  prevention & control*
Risk Assessment
Skin Care
Social Environment
Spinal Cord Injuries / complications*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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