Chronic wounds have many psychosocial consequences, including stress, negative mood, pain, and social isolation. In addition to these, frequent dressing changes can cause the individual anxiety and stress. This article explores how wound management can influence both psychological outcomes and, potentially, the rate of healing. Implications for practice are identified, which need to be successfully employed to ensure that patient health is maximised and that the stress and pain associated with wound care are minimised in order that wound healing is improved.
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For community nurses faced with expanding case-loads and patients who are now being discharged earlier into the community, the sheer range of conditions they come across means that cost-effective and practical, clinically-effective solutions are at a premium. This is particularly true in wound care, where nurses in the community need products that can be used on a variety of wound types that are also cost-effective. This article looks at the range of wound care knowledge needed by generalist nurses, before focusing on one dressing in particular, Silflex® (Advancis Medical, Nottinghamshire). With its all-round versatility, Silflex provides a balance of usability and cost-effectiveness.
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