Page 245 - Psychology of Wounds and Wound Care in Clinical Practice ( PDFDrive )

220 Chapter 9. Conclusion

The presence of these factors, along with immobility, social
isolation, pain, mood disorders and other psychosocial factors
not only exacerbates their severity and jeopardises their abil-
ity to heal but also could lead to further wounds occurrence.
Of course, there are some protective factors and these can
include not only positive and appropriate clinical wound care
but also psychosocial factors.
Each of these factors, whether positive or negative, has
been described, evidenced and reported in this book. This
final chapter will emphasise the clinical relevance of the
material presented and provide some simple implications for
professional practice (see Table 9.1 ).

Table 9.1 Psychological factors and relevance to care
Factor Element Some implications for the clinician
Psychosocial Lack of energy Education
Work limitations Support
Leisure activity Cognitive therapy
restrictions

Low self-esteem Acknowledgement of difficulties
Daily routine Development of coping strategies
alterations
Sleep disturbance Social support development
Body image
distortion
Fatigue
Restricted
mobility,

Odour and social
isolation
Depression
Anxiety
Mood disorders