Document Detail

Qualitative study of principles pertaining to lifestyle and pressure ulcer risk in adults with spinal cord injury.
MedLine Citation:
PMID:  20136475     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The aim of this article is to identify overarching principles that explain how daily lifestyle considerations affect pressure ulcer development as perceived by adults with spinal cord injury (SCI). METHOD: Qualitative in-depth interviews over an 18-month period with 20 adults with spinal injury and a history of pressure ulcers were conducted using narrative and thematic analyses. RESULTS: Eight complexly interrelated daily lifestyle principles that explain pressure ulcer development were identified: perpetual danger; change/disruption of routine; decay of prevention behaviors; lifestyle risk ratio; individualization; simultaneous presence of prevention awareness and motivation; lifestyle trade-off; and access to needed care, services and supports. CONCLUSIONS: Principles pertaining to the relationship between in-context lifestyle and pressure ulcer risk underscore previous quantitative findings, but also lead to new understandings of how risk unfolds in everyday life situations. Pressure ulcer prevention for community-dwelling adults with SCI can potentially be enhanced by incorporating principles, such as the decay of prevention behaviors or lifestyle trade-off, that highlight special patterns indicative of elevated risk. The identified principles can be used to theoretically drive future research or to guide innovative lifestyle-focused intervention approaches. Public policies that promote short-term preventive interventions at critical junctures throughout a person's life should be considered.
Jeanne Jackson; Mike Carlson; Salah Rubayi; Michael D Scott; Michal S Atkins; Erna I Blanche; Clarissa Saunders-Newton; Stephanie Mielke; Mary Kay Wolfe; Florence A Clark
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  32     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2010  
Date Detail:
Created Date:  2010-02-08     Completed Date:  2010-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  567-78     Citation Subset:  IM    
Division of Occupational Science & Occupational Therapy, University of Southern California, Los Angeles, California, USA.
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MeSH Terms
Activities of Daily Living
Health Behavior
Health Services Accessibility
Interviews as Topic
Life Style*
Middle Aged
Pressure Ulcer / etiology*,  prevention & control
Risk Factors
Self Care*
Spinal Cord Injuries / complications*,  rehabilitation
Wheelchairs / adverse effects*
Young Adult

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

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