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Pressure Injury Toolkit For Spinal Cord Injury and Spina Bifida

Beyond the wound - Bringing best practice to the bedside

Pressure injury toolkit

This toolkit has been developed to support clinical decision-making and the use of an interdisciplinary, consumer focused approach to pressure injury* assessment and management.

It is intended for use by all health professionals working in collaboration with children and adults with spinal cord injury ( SCI ) and spina bifida ( SB ), including general practitioners and other medical practitioners, nurses, occupational therapists, rehabilitation engineers, physiotherapists, social workers, dietitians, psychologists, case managers and peer support workers, in hospital and community settings.

This toolkit is based on a range of: evidence and best practice guidelines.

Evidence and best practice guidelines

In response to the NSW Statewide Spinal Cord Injury Service ( SSCIS ) Model of Care for Prevention and Integrated Management of Pressure Injuries in People with Spinal Cord Injury and Spina Bifida (2014), the Spinal Cord Injury Pressure Injury Toolkit was developed

This toolkit refers to a range of evidence including best practice recommendations found in:

It assumes general knowledge of both pressure injury (PI) prevention and management and

General knowledge of pressure injury prevention and management

Clinical Excellence Commission Pressure Ulcer Prevention Project
Includes information and resources for organisations, health professionals and consumers to prevent and manage pressure injuries.

Health Education and Training Institute NSW (HETI)
NSW Health employees should complete the Health Education and Training Institute (HETI) e-Learning Course: Pressure Injury Prevention and Management (HETI Online Course Code: 42032699).

spinal cord injury (SCI) and spina bifida (SB)

Spinal Cord Injury (SCI) and Spina Bifida

An introduction to the basic principles of SCI management for the multidisciplinary team can be found at (Free log in).

A range of up to date, evidence based resources for health professionals and consumers can be found at NSW Agency for Clinical Innovation (ACI) Spinal Cord Injury Resources.

The Sydney Children’s Hospital Network Fact Sheets.

Downloadable Tool

Use the SCI PI Toolkit Clinician Checklist to ensure all elements of the toolkit have been included in your care of the person with a PI .


The development of this resource was supported by funding from:

  • NSW Ministry of Health Neurological Conditions Translational Research Grant Program
  • Agency for Clinical Innovation project funding

We would like to acknowledge the project team, clinicians, consumers and funders who have assisted in the development of this resource.



Thank you to the project team and clinicians who have assisted in the development of this resource – your time and expertise is greatly appreciated.

Project team

Professor James Middleton Director, NSW State Spinal Cord Injury Service
Lyndall Katte Project Officer
Liz Dallaway Project Officer
Frances Monypenny Network Manager, NSW State Spinal Cord Injury Service

Special Thanks

Charisse Turnbull Occupational Therapist, Assistive Technology and Seating
Lucija Lavrencic Clinical Nurse Consultant, Royal North Shore Hospital
Margaret Samson Clinical Nurse Consultant, Prince of Wales Hospital
Louise Kelly Clinical Nurse Consultant, Royal North Shore Hospital
Wendy Jannings Clinical Nurse Consultant, Northern Sydney Local Health District
Mr Malcolm Turnbull Consumer
Dr Mohit Arora The Kolling Institute, University of Sydney
Dr Janet Long The Kolling Institute, University of Sydney

Contributors and Reviewers

Alexandra Hopson

Dr Lianne Nier

Michelle Barakat-Johnson

Alison DiSanto

Dr Rachael McQueen

Nicole Killey

Alyssa Rogan

Dr Antoinette Botman

Patti Condon

Amelia Scott

Elizabeth Cooper

Paula Carroll

Amy de Paula

Fiona Gavegan

Paula McInerney

Andrea Thatcher

Gai Lovell

Priya Iyer

Andrew Thompson

Helen Tonkin

Rebecca Armstrong

Annalisa Dezarnaulds

Howard Law

Rebecca Hudson

Anne Willey

Iain Brown

Renee Van Dorst

Annette Kady

Jacqui Cornell

Samantha Brownridge

Arun George

Jennifer Olding

Sarah McBurney

Ashleigh Welten

Jennifer Smith

Sarah Michael

Beverley Berlowitz

Jenni Barker

Shannon Pike

Bill Fisher

Jodie Thompson

Sharon Baillie

Claire Blewett

Johnathan Brinton

Sue Monaro

Dale Casley

Leah Brown

Susan French

Dallas Pirronello

Leigh Bryant

Tanya Pisk

David Simpson

Lilliana Barone

Toni Blanch

David Walters

Lisa Bernad

Victoria Sim

Debbie Blanchfield

Lisa Couzens


Diane Coller

Mandy Hanna


Dr Bonne Lee

Megan Rozos



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* Pressure injury may also be known as pressure sore, pressure ulcer, bedsore or decubitus ulcer.