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Chapter 3


            Stress












               Box 3.1: Key Points
             •   Stress can have a significant impact on wound



               healing;
             •   Stress can be a consequence of the wound, social

               isolation, psychological issues, pain from the wound
               and pain from the treatment regimen;

             •   The interactional model of stress suggests stress is a
               transaction between an individual and their environ-
               ment – an event only elicits a stress response if the
               individual perceives the event to be stressful;
             •   The General Adaptation Syndrome (GAS) describes

               three stages associated with stress: alarm, resistance,
               and exhaustion stage;

             •   The importance of perception in the understanding
               of stress and how this can be applied to wound treat-
               ment is emphasised.



               Summary


                   The relationship between stress and delayed healing is
           now firmly established.  This evidenced relationship may
           be  associated with a range of factors linked to wound care.

           D. Upton, P. Upton, Psychology of Wounds and Wound Care   57
           in Clinical Practice, DOI 10.1007/978-3-319-09653-7_3,
           © Springer International Publishing Switzerland 2015
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