Managing painful chronic wounds: the Wound Pain Management Model

Price, Patricia Elaine, Fogh, Karsten, Glynn, Chris, Krasner, Diane L., Osterbrink, Jürgen and Sibbald, R. Gary 2007. Managing painful chronic wounds: the Wound Pain Management Model. International Wound Journal 4 (s1) , pp. 4-15. 10.1111/j.1742-481X.2007.00311.x

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Abstract

Chronic wound pain is not well understood and the literature is limited. Six of 10 patients venous leg ulcer experience pain with their ulcer, and similar trends are observed for other chronic wounds. Chronic wound pain can lead to depression and the feeling of constant tiredness. Pain related to the wound should be handled as one of the main priorities in chronic wound management together with addressing the cause. Management of pain in chronic wounds depends on proper assessment, reporting and documenting patient experiences of pain. Assessment should be based on six critical dimensions of the pain experience: location, duration, intensity, quality, onset and impact on activities of daily living. Holistic management must be based on a safe and effective mix of psychosocial approaches together with local and systemic pain management. It is no longer acceptable to ignore or inadequately document persistent wound pain and not to develop a treatment and monitoring strategy to improve the lives of persons with chronic wounds. Unless wound pain is optimally managed, patient suffering and costs to health care systems will increase.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Subjects:	R Medicine > RM Therapeutics. Pharmacology R Medicine > RT Nursing
Uncontrolled Keywords:	Holistic management; Local management; non-pharmacological methods; Pharmacological wound pain management; Wound pain; Wound pain assessment; Wound pain model
Publisher:	Wiley-Blackwell
ISSN:	1742-4801
Last Modified:	04 Jun 2017 04:00
URI:	https://orca.cardiff.ac.uk/id/eprint/30634

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