Qualitative study of principles pertaining to lifestyle and pressure ulcer risk in adults with spinal cord injury

Disability and Rehabilitation
Jeanne M JacksonFlorence Clark

Abstract

The aim of this article is to identify overarching principles that explain how daily lifestyle considerations affect pressure ulcer development as perceived by adults with spinal cord injury (SCI). Qualitative in-depth interviews over an 18-month period with 20 adults with spinal injury and a history of pressure ulcers were conducted using narrative and thematic analyses. Eight complexly interrelated daily lifestyle principles that explain pressure ulcer development were identified: perpetual danger; change/disruption of routine; decay of prevention behaviors; lifestyle risk ratio; individualization; simultaneous presence of prevention awareness and motivation; lifestyle trade-off; and access to needed care, services and supports. Principles pertaining to the relationship between in-context lifestyle and pressure ulcer risk underscore previous quantitative findings, but also lead to new understandings of how risk unfolds in everyday life situations. Pressure ulcer prevention for community-dwelling adults with SCI can potentially be enhanced by incorporating principles, such as the decay of prevention behaviors or lifestyle trade-off, that highlight special patterns indicative of elevated risk. The identified principles can be u...Continue Reading

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Citations

Jul 3, 2013·The Journal of Spinal Cord Medicine·Elif YalcinIbrahim Degirmenci
Dec 25, 2012·Archives of Physical Medicine and Rehabilitation·Elizabeth A PyatakFlorence A Clark
Oct 5, 2013·The Journal of Spinal Cord Medicine·Erwin A KrugerSalah Rubayi
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