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Journal of Community Nursing (JCN) | October 2020

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Shared decision-making and patient self-care in wound management

Shared decision-making and patient self-care in wound management
Wound Care

Article topics: Self care, Shared decision-making

Historically, wounds have been treated within the medical model with a paternalistic approach where healthcare professionals assess the aetiology and condition of the wound bed, identify any modifiable patient risk factors which may impact on healing, and then implement evidence-based treatments to promote healing (Lusher, 2020). This article discusses the challenges in implementing both shared decision-making and self-care and reviews some of the innovative initiatives which have been developed to encourage patient self-care for wounds. The theories underpinning self-care and the advantages and disadvantages of self-care and shared decisionmaking are also discussed from both healthcare professionals and patients/carers’ perspectives.

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