ISS 2017 Program


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PC13: Pressure Injury Management for Rehabilitation Professionals

Pressure injury management continues to be a challenge in healthcare. Commonly in pressure injury management, the team begins to consider management strategies prior to a full complete assessment and investigation into the actual cause of a pressure injury. Typically, topical dressings are considered, advanced modalities may be chosen, bed and wheelchair support surfaces are investigated; however consideration into the management of the extrinsic risks, including a full seating assessment of a client who may have a sitting acquired pressure injury, is somehow commonly overlooked.
Unfortunately, knowledge and skill sets of superior seating and positioning strategies along with effective clinical practice of pressure injury management is lacking across practice settings, particularly in physical and occupational therapy settings.

In this interactive presentation, discussions will provide foundational knowledge regarding the skin, normal physiology of healing and the factors affecting healing and repair. In addition this workshop will focus on reviewing the new research regarding the etiology of pressure injury formation and staging guidelines, as well as, key assessment and documentation strategies to provide better services for clients in all care settings and the community. Specific to this presentation, we will also review some of the specific clinical practice guidelines, which revolve around seating, positioning and mobility related to pressure injury management.

This session is supported by a company with reported interest in the sale of Assistive Technology products. The content has been reviewed by ISS personnel and determined to be appropriate for continuing education purposes.


Learning Objectives:

Upon completion of this session, attendees will be able to;



Darren Hammond, MPT, PT, CWS
ROHO Institute
Belleville, Illinois
United States

W. Darren Hammond, has held clinical positions and faculty appointments in the United States for over twenty-three years. In addition to being a board Certified Wound Care Specialist, his focus of treatment has been in SCI rehabilitation. Darren has had extensive experience with seating, wound management, pressure mapping and equipment prescription. He is currently Senior Director of The ROHO Institute, where he lectures nationally and internationally on wound management, pressure imaging and seating options.



    1. Australian Wound Management Association. (2012). Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury.
    2. Brienza, D., Kelsey, S., Karg, P., Allegretti, A., Olson, M., Schmeler, M., . . . Holm, M. (2010). A Randomized Clinical Trial on Preventing Pressure Ulcers with Wheelchair Seat Cushions. Journal of the American Geriatrics Society, 58(12), 2308-2314.
    3. Paralyzed Veterans of America (2000). Consortium for Spinal Cord Medicine. Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for health care professionals.
    4. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel (2014). Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline.
    5. Registered Nurses' of Ontario. (2007). Nursing Best Practice Guidelines: Assessment and Management of Stage I to IV Pressure Ulcers.
    6. Wound Ostomy Continence Nurses Society. (2010). Guideline for prevention and management of pressure ulcers. WOCN Clinical practice guideline series.
    7. Reddy, M., Gill, S.S., & Rochon, P.A. (2006) Preventing pressure ulcers: a systematic review. JAMA, 296(8), 974-984.
    8. Gefen, A., Farid, K.J., & Shaywitz, I. (2013). A review of deep tissue injury development, detection and prevention: Shear Savvy. Ostomy Wound Management. 59(2), 26-35.

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Updated | 11.08.2016      Facebook logo  Twitter
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