Biomedical subjects
Publications and source records attributed to M Benbow.
Close examination of all aspects of a patient's condition as well as the wound itself will minimise the risk of failure in wound management. Involving the patient and the patient's carer can secure cooperation and compliance with treatment and can positively influence the outcome of care.
Chronic wounds are a common feature in the elderly or in people with multisystem failure. In order to promote uncomplicated healing, nurses must have the necessary clinical knowledge about the patient's condition and the wound-healing process. This article discusses the intrinsic factors associated with chronic or indolent wounds. The next article in the series will examine the extrinsic factors.
The cost of managing chronic wounds in terms of staff time and dressing materials is phenomenal. Time and money could be better invested in planned efforts to prevent the development of certain types of wounds and, more importantly, improve the quality of life for many more patients.
The important issue of patient/carer involvement in relation to pressure sore prevention and management is referred to in the NHS Executive's (1994) draft document on the prevention and management of pressure sores, commonly known as the 'Pressure sore consensus guidelines'. It states that: 'A multidisciplinary plan of care should be negotiated with individual patients and/or carers taking into consideration their knowledge and experience.' This article explores some of the specific aspects of patient/carer involvement in various settings. Key factors identified during the course of the consensus guidelines development in relation to patient/carer involvement are the assessment of risk, the educational strategy adopted, what information should be included and individual freedom of choice to accept or refuse advice or care.
Explore the source record for details and available documents.
Explore the source record for details and available documents.