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Psychosocial Issues of Wounds  221

           Table 9.1 (continued)
            Factor     Element         Some implications for the clinician
             Pain       Pain from wound   Cognitive behaviour therapy
                       Pain from      Distraction techniques
                      treatment
                       Background pain   Imagery

                       Pain from      Relaxation
                      anticipation of
                                       Altering significance of the
                      treatment
                                     pain
                                      P.A.I.N model
                                      Appropriate clinical
                                     techniques
                                       Acknowledgement of pain
            Stress      Stress from pain     Pain management techniques
                       Stress from     Calm and relaxed treatment
                      treatment      environment
                       Stress from     Cognitive behaviour therapy
                      psychosocial
                      issues
                       Stress delayed     Education and appropriate
                      healing        control
                                      Self-management
                                      Appropriate dressings
                                       Pre-information for novel
                                     treatments


                  Psychosocial Issues of Wounds

                                   ,

             As we have seen in Chap.   1    most researchers, clinicians and
           patients agree there are a host of psychosocial factors that can
           affect the individual patient of which the health care profes-
           sional should be aware. These can include: lack of energy, limi-
           tations in work and leisure activities, worries and frustrations,
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