Page 31 - Psychology of Wounds and Wound Care in Clinical Practice ( PDFDrive )

4 Chapter 1. Psychosocial Consequences of Wounds

Negative
emotional
State

Physical /
Delayed Delayed
wound Psychological wound
healing Consequences healing
of Wound

Negative
emotional
state

Figure 1.1 Psychological consequences of wounds

with a wound, and considers briefly how clinicians might best
respond to these problems.

Limitations of Daily Living

Patients with chronic wounds often report feeling that they
can no longer carry on with their daily routine and going out
in public (Woo et al. 2009 ). Furthermore, patients may have
to limit their activities in order to reduce painful experiences
(Woo 2010 ), subsequently reducing their social mobility
(Solowiej et al. 2010a ). Herber et al. ( 2007 ) discovered that
patients will often avoid activities such as walking, shopping
and exercising, due the pain attributed to such activities. In
addition to this, patients have also reported avoiding these
activities due to worries that they will lead to, or contribute,