This sample form can be used as a multidisciplinary assessment form to screen for the cause and other factors that may have contributed to the development or delayed healing of a pressure injury.
It may be a useful tool to facilitate communication within a multidisciplinary team and provide the client with a clear and consistent plan.
The form may be used to provide information when referring the client to a tertiary SCI service.
Michael’s story illustrates the importance of thinking beyond the wound, working with a multidisciplinary team to investigate all contributing factors and understanding the psychosocial impact of PIs. See page 10 -11 of Jade Baynes’ presentation (Senior Therapist at Northcott Spina Bifida Adult Resource Team 2012 )