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https://hdl.handle.net/1959.11/27748
Title: | Living with multiple losses: Insights from patients living with pressure injury | Contributor(s): | Jackson, Debra E (author); Durrant, Lisa A (author); Hutchinson, Marie (author); Ballard, Charlotte A (author); Neville, Stephen (author); Usher, Kim (author) | Publication Date: | 2018-08 | Early Online Version: | 2017-11-03 | DOI: | 10.1016/j.colegn.2017.10.008 | Handle Link: | https://hdl.handle.net/1959.11/27748 | Abstract: | Background: Pressure injury is a common problem. Its prevention and treatment is predominantly focussed on views, perceptions and knowledge of healthcare staff rather than on patient experience, particularly those patients living in their own homes. Aim: This paper reports findings on patients experiences and perceptions of loss associated with PI. These findings are drawn from a larger study of pressure injury patients living and receiving care in the community. Methods: Qualitative interviews with 12 participants with pressure injury and five carers. Data was audio recorded and thematically analysed. The study is reported in accordance with the COREQ guidelines. Findings: Having a pressure injury negatively affected many aspects of life for our participants resulting in multiple losses. These losses included loss of mobility and independence, privacy and dignity, and social engagement and ability to engage in preferred activities. Discussion: Although the effects of a pressure injury may be similar for many people, the most important issues will differ from person-to-person thus treatment and prevention of pressure injury requires a multidisciplinary team having a holistic care approach. Some patients’ pressure injury will never heal and it is increasingly important to involve the patient to find out what matters most to them and how their wound is impacting on them, to jointly develop a holistic, person-centred plan. Conclusion: Policy and practice should recognise and reflect that patients living with a pressure injury at home have different challenges and needs to those in acute or long term care. Pragmatic solutions in the delivery of pressure injury care are needed to compliment the drive to move healthcare from the hospital-to-home. | Publication Type: | Journal Article | Source of Publication: | Collegian, 25(4), p. 409-414 | Publisher: | Elsevier BV | Place of Publication: | Netherlands | ISSN: | 1876-7575 1322-7696 |
Fields of Research (FoR) 2008: | 111099 Nursing not elsewhere classified | Fields of Research (FoR) 2020: | 520302 Clinical psychology | Socio-Economic Objective (SEO) 2008: | 929999 Health not elsewhere classified | Socio-Economic Objective (SEO) 2020: | 200201 Determinants of health | Peer Reviewed: | Yes | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
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Appears in Collections: | Journal Article School of Health |
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