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References 135
impact upon the patients. Thus, it is imperative that clini-
cians consider such aspects within their care. Further to this,
it is important to consider the forms of treatment given to
patients, whilst also taking into account the importance they
place on their forms of care and management.
Given the significant issues that individuals suffering from
pressure ulcers suffer it is not surprising that the levels of Health-
Related Quality of Life is compromised (Gorecki et al. 2010 ,
2012 ). Indeed several models of HRQL have been developed
exploring the relationship between individual components such
as symptoms, physical functioning and well- being (e.g. Patrick
and Bergner 1990 ; Fung and Hays 2008 ). Interestingly, Gorecki
et al. ( 2012 ) detailed that pressure ulcers directly impact on
HRQoL but there were also a range of factors that may inter-
vene to modify this relationship. Of particular importance were
the experience of care factors, which appeared to have a direct
effect on satisfaction with care and HRQoL.
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