Pressure ulcers and occupational therapy practice: a Canadian perspective

Occupational therapists are involved in the prevention and management of pressure ulcers. While many therapists identify challenges with their clinical practice in this area, there is little information available regarding specific occupational therapy interventions or effectiveness.

The goal of this study was to gain a national perspective of practice in Canada and identify directions and trends in the management of pressure ulcers.

A survey was distributed to occupational therapists at 75 facilities across Canada, soliciting information on intervention, practice issues and satisfaction with their practice.

Thirty-seven therapists from 36 facilities responded, answering questions about risk assessment tools, referral patterns, interventions and decision-making models, satisfaction with practice, intervention rationales, and recommendations for change. Risk assessment, early intervention and continuity of care were identified as concerns, with a lack of resources identified as a limitation to practice. Seating and positioning were common interventions.

This information can be used by clinicians to direct best practice and professional development goals. Further research is indicated in risk assessment, team collaboration and mattress prescription.