Qualitative study of principles pertaining to lifestyle and pressure ulcer risk in adults with spinal cord injury

Jackson, Jeanne; Carlson, Michael; Rubayi, Salah; Scott, Michael D.; Atkins, Michal; Blanche, Erna Imperatore; Saunders-Newton, Clarissa; Mielke, Stephanie; Wolfe, Mary Kay; Clark, Florence

doi:10.3109/09638280903183829

Cited by 44 publications

(52 citation statements)

References 31 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Russell (2008), in her analysis of tagging, illustrated the complex interplay of health-promoting (e.g., problem solving, social participation) and healthcompromising (e.g., physical danger, threat of arrest and prosecution) elements of this particular occupation. The study also mirrors a finding by Jackson et al (2010), who, in their analysis of factors contributing to pressure ulcer risk in adults with spinal cord injury, found that when people developed a pressure ulcer, they faced the difficult decision of whether to remain engaged in their usual patterns of activities or submit to an extended period of bed rest to heal. Because both options had health-promoting and health-compromising elements, the decision required a careful analysis of potential risks and benefits.…”

Section: Discussionsupporting

confidence: 79%

Participation in Occupation and Diabetes Self-Management in Emerging Adulthood

Pyatak

2011

The American Journal of Occupational Therapy

View full text Add to dashboard Cite

I present the findings of a study aimed at developing an in-depth understanding of how engagement in occupation influences young adults' ability to effectively manage diabetes and, conversely, how their diabetes self-management strategies shape their occupational participation. The qualitative interview-based study of 8 people ages 19-25 with Type 1 diabetes revealed that study participants often experienced tension between diabetes self-management and participation in valued occupations, which required them to make calculated decisions about how to balance these competing priorities in their everyday lives. Seven themes are discussed in detail that characterized the relationship between participating in valued occupations and attending to the complex factors that dictate successful diabetes self-management. This research offers a preliminary framework for occupational therapists to assist young adults with diabetes and other chronic illnesses in reconciling these competing demands. Pyatak, E. (2011). Participation in occupation and diabetes self-management in emerging adulthood.

show abstract

Section: Discussionsupporting

confidence: 79%

Participation in Occupation and Diabetes Self-Management in Emerging Adulthood

Pyatak

2011

The American Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

“…Decisions in daily activities, decay in adherence to prevention behaviors, lack of situational awareness, motivation, and access to needed services and supports are among the key principles pertaining to lifestyle that could increase the risk of developing PUs [11]. For example, skipping scheduled prevention activities to attend to work is commonly reported [11].…”

Section: Lifestyle and Psychosocial Factorsmentioning

confidence: 99%

“…These studies examining the sequence of events leading to the development of PUs demonstrate that unexpected events (e.g., lengthy flight delay, change in care personnel) disrupt established prevention routines [26]. Decisions in daily activities, decay in adherence to prevention behaviors, lack of situational awareness, motivation, and access to needed services and supports are among the key principles pertaining to lifestyle that could increase the risk of developing PUs [11]. For example, skipping scheduled prevention activities to attend to work is commonly reported [11].…”

Section: Lifestyle and Psychosocial Factorsmentioning

confidence: 99%

“…Despite these practices, long-term adherence to recommended measures to prevent PUs remains suboptimal. A survey of wheelchair users with SCI living at home in the Netherlands indicated that less than 50 percent of respondents performed pressure-relief maneuvers "regularly" or "often" [10] and adherence to preventative practices tends to decay over time in community-dwelling individuals with SCI [11].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: A scoping review

Tung

Stead²,

Mann³

et al. 2015

J Rehabil Res Dev

View full text Add to dashboard Cite

Abstract-Pressure ulcers (PUs) in individuals with spinal cord injury (SCI) present a persistent and costly problem. Continuing effort in developing new technologies that support selfmanaged care is an important prevention strategy. Specifically, the aims of this scoping review are to review the key concepts and factors related to self-managed prevention of PUs in individuals with SCI and appraise the technologies available to assist patients in self-management of PU prevention practices. There is broad consensus that sustaining long-term adherence to prevention regimens is a major concern. Recent literature highlights the interactions between behavioral and physiological risk factors. We identify four technology categories that support self-management: computer-based educational technologies demonstrated improved short-term gains in knowledge (2 studies), interface pressure mapping technologies demonstrated improved adherence to pressure-relief schedules up to 3 mo (5 studies), electrical stimulation confirmed improvements in tissue tolerance after 8 wk of training (3 studies), and telemedicine programs demonstrated improvements in independence and reduced hospital visits over 6 mo (2 studies). Overall, self-management technologies demonstrated low-to-moderate effectiveness in addressing a subset of risk factors. However, the effectiveness of technologies in preventing PUs is limited due to a lack of incidence reporting. In light of the key findings, we recommend developing integrated technologies that address multiple risk factors.

show abstract

“…1 Pressure ulcers are secondary complications to SCI that lead to lower quality of life and are expensive to treat. [1][2][3] The least expensive and most difficult management of pressure ulcers is prevention. 4 Persons with SCI are prone to develop high seating pressure because of spine deformities, muscle imbalance and deteriorated perception.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing optimal seating pressure after spinal cord injury

et al. 2013

View full text Add to dashboard Cite

Study design: Retrospective, cross-sectional design. Objectives: To identify factors that predict unsatisfactory seating pressure in spinal cord-injured (SCI) individuals. Setting: Seating Clinic at the University Hospital, Norway. Methods: All wheelchair users with traumatic SCI hospitalized between 1 January 2007 and 31 December 2010 were included. Individual assessment by a team was performed. To measure seating pressure, a computerized seating pad with sensing points 40 Â 40 cm was used. Primary end points were defined as satisfactory or unsatisfactory seating position based on measured pressure (more or less 100 mm Hg), clinical findings and physical activity level. To explore possible risk factors for high seating pressure, both univariate and multivariate regression analysis were performed. Results: A total of 75 persons with SCI were assessed, 39 (52%) with unsatisfactory result. Statistical analysis revealed that use of manual wheelchair (odds ratio (OR) ¼ 6.86, confidence interval (CI) 1.77-26.63) and history of pressure ulcer (OR ¼ 8.47, CI 2.46-29.13) significantly increase the risk of unsatisfactory seating pressure. Paraplegia caused significantly higher risk (OR ¼ 2.5, CI 0.99-6.34) in the univariate model, probably because the SCI with tetraplegia do prefer electrically powered wheelchairs. Conclusions: Use of manually driven wheelchairs and persons with previous pressure ulcer are at significant risk of high seating pressure and consequently developing new pressure ulcers. The patients from these subcategories need close follow-up regarding seating position and prevention of pressure ulcers.

show abstract

Qualitative study of principles pertaining to lifestyle and pressure ulcer risk in adults with spinal cord injury

Cited by 44 publications

References 31 publications

Participation in Occupation and Diabetes Self-Management in Emerging Adulthood

Participation in Occupation and Diabetes Self-Management in Emerging Adulthood

Assistive technologies for self-managed pressure ulcer prevention in spinal cord injury: A scoping review

Factors influencing optimal seating pressure after spinal cord injury

Contact Info

Product

Resources

About