Page 174 - Psychology of Wounds and Wound Care in Clinical Practice ( PDFDrive )

Compression Bandaging 149

Inappropriate
dressing
choice

Pain at
Pain dressing
change

Stress related
More to
dressings anticipatory
pain

Delayed
wound
healing

Figure 6.2 Cycle of pain, stress, wound healing, and wound dressing

to other dressings, the nature of the dressing was less relevant
than the key message: dressing type can influence stress and
pain experienced. Hence, the clinician has to consider the use
of appropriate dressings for the individual patient. As has
been highlighted by many, the choice of dressing should be
made on the basis of a clear assessment of the patient and
their wound- if the dressing is right for the patient and their
wound and can minimise pain then the stress will be amelio-
rated and healing promoted (see the Fig. 6.2 ).

Compression Bandaging

For those with leg ulceration of venous aetiology, compres-
sion therapy is the gold standard treatment, with compression
bandages accelerating ulcer healing when compared with no