ATP Series

Pressure Injury Resources

Courtesy: Linda Norton, M.Sc.CH, Ph.D., OT Reg. (ONT), Manager, Learning & Development for Motion

Qualitative study of principles pertaining to lifestyle and pressure ulcer risk in adults with spinal cord injury
This article talks about contributing factors for pressure injury development, such as perpetual danger, interruption of routine, and lifestyle trade-off.

Canadian Best Practice Guidelines for the Prevention and Management of Pressure Ulcers in People with Spinal Cord Injury (
— “Up to 95 percent of people with spinal cord injury will experience a pressure ulcer sometime during their lifetime” (page 6). 
— “Many people with spinal cord injury perceive a trade-off between performing pressure-redistributing activities and participating in life. Everything takes longer to accomplish for a person with spinal cord injury, and many feel they simply do not have time for both. Participating in life is the choice they often make” (page 33).
— Generally a great resource about assessment for support surfaces, wheelchairs and transfers.

The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at-risk elderly wheelchair users (
Study shows a properly fitted wheelchair and a pressure management cushion decrease the risk of pressure injuries in people in long-term care settings.

Best Practice Recommendations for the Prevention and Management of Pressure Injuries  (
Page 14: Differentiating between pressure injuries and Incontinence-Associated Dermatitis

How Do Health Care Providers Identify and Address Lifestyle Factors with Community Dwelling Adults Who Have Chronic Wounds?  (
Linda Norton’s research, including the “swamp” reference, plus commentary about needing to move alongside patients and work with them to figure out how to implement weight shifting (and other best practices) into their lives.

How Power Tilt Is Used in Daily Life to Manage Sitting Pressure: Perspectives of Adults Who Use Power Tilt and Therapists Who Prescribe This Technology (
Discusses factors that lead to whether or not a client will tilt in any given circumstance.

Nutrition in Canada’s hospitalized patients  (
“In a previous manuscript, the Nutrition Care in Canadian Hospitals (NCCH) study revealed that the prevalence of malnutrition (SGA B + C) in adults admitted to Canadian hospitals, who stay more than 2 days, is 45 percent.”

AccessATCanada (

Canadian Pressure Injury Advisory Panel (

This article originally appeared in the Mar/Apr 2021 issue of Mobility Management.

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