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Pressure Injury Toolkit For Spinal Cord Injury and Spina Bifida

Beyond the wound - Bringing best practice to the bedside

Psychosocial impact

It is everybody’s responsibility to monitor the impact that a PI has on a person.

Having to prioritise the management of a PI over other activities can:

  • increase isolation,
  • reduce participation in meaningful activity and contribution to work and the household, and
  • compound the difficulty a person may have in asking for assistance or help making decisions.

Having a PI can affect a person’s self esteem, cause guilt and self-blame.

Children with SCI or SB

  • For children with a PI it is essential to identify and assess the impact a PI is having on the child’s participation in school, study, work, leisure and social activities.
  • Collaborate with the child, family, school, friends and MDT to formulate a plan that will enable the child to both manage their PI and still achieve social, leisure and academic goals.
  • Monitor the capacity of family, carers and schools to provide increased care and support.

Look for psychological disorders (such as those listed above) and refer to the appropriate health professional such as a Psychologist, Psychiatrist, GP and Social Worker.

Collaborate with the person and the treating teams to formulate strategies and an individualised management plan that addresses both pressure injury management and the emotional and psychological needs of the person.