Occiput

Specific risks

Immobility is the primary risk factor for occipital pressure injury, particularly in the early stages post-injury when log rolling with head support may be required.

Cervical-level injuries further increase risk due to reduced head control and limited ability to reposition or offload pressure from the occiput.

Halo braces contribute by increasing head weight and restricting movement, resulting in sustained pressure on the occipital area.

Hard cervical collars can also apply direct pressure to the occiput and should be monitored closely.

Hair care is essential to reduce pressure from matted hair and to remove any debris (e.g. soil, glass, dried blood) that may be present from the time of injury.

Assessment of the occiput should include regular palpation for early signs of tissue compromise such as ‘boggy’, soft, or tender areas..