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Pressure Injury Toolkit For Spinal Cord Injury and Spina Bifida

Beyond the wound - Bringing best practice to the bedside


The extent to which a person can self-manage provides information about possible contributing factors and the level of support required by health professionals when working with that person.

The Skin Management Needs Assessment Checklist is a tool specifically designed for people with SCI, which elucidates the knowledge gaps they may have with respect to skin management after SCI.

For people with SB and hydrocephalus or clients with suspected cognitive impairment, the results of a cognitive or neuropsychological assessment may provide useful information about the extent to which they may be able to self-manage and the level of support needed.

The ‘Flinders Model’ of Chronic Condition Self-management

The ‘Flinders Model’ of Chronic Condition Self-management

The ‘Flinders Model’ of Chronic Condition Self-Management refers to the capacity of individuals to:

  1. Have knowledge of their condition (this would include pressure injury prevention strategies)
  2. Follow a treatment plan (care plan) agreed with their health professionals
  3. Actively share in decision making with health professionals
  4. Monitor and manage signs and symptoms of their condition (this might reflect beliefs about managing pressure injuries)
  5. Manage the impact of the condition on their physical, emotional and social life (this might include coping and problem solving strategies)
  6. Adopt lifestyles that promote health
  7. Have confidence, access and the ability to use support services

Levels of self-management

Levels of self-management

Whilst there is no validated tool to assess a person’s capacity to self manage, NSW Health has defined three levels of self-management:

  • Self directed self-management
  • Collaborative self-management
  • Supported self-management