Physical functioning: 100 %

INSTRUCTIONS:

Please Choose the one best answer to each question.

1. Level of activity

2. MOBILITY

3. Complete Spinal Cord injury (SCI)

4. Urine incontinence or constantly mosit

5. Autonomic dysreflexia or severe spasticity

6. Age (years)

7. Tobacco use / smoking

8. Pulmonary disease

9. Cardiac disease or ABN . EKG

10. Diabetes or glucose > 110 mg/dl

11. Renal Disease

12. Impaired cognitive function

13. In a nursing home or hospiltal

14. Albumin <3.4 or T.protien <6.4

15. HEMATOCRIT <36.0% (HGB <12, 0)


Bibliographic References (copyright belongs to the author/s of this instrument):

1. Mortenson, W. and Miller, W. (2007). "A review of scales for assessing the risk of developing a pressure ulcer in individuals with SCI." Spinal Cord 46(3): 168-175.