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Published on: September 30, 2020
Perspectives of Chronic Wounds and Quality of Life Among Nursing Home Residents: A Descriptive Qualitative Study
Rochelle M Kopka1, Laura Santurri2, Caroline Gwaltney1
1Department of Physical Therapy, Central Michigan University, Mount Pleasant, Michigan.
Purpose:
To describe older adults' lived experience with a chronic wound in a long-term care (LTC) facility, with the ultimate goal of enhancing well-being and overall quality of life (QoL).
Method:
A descriptive phenomenological design guided by Colaizzi's method was used. Seven cognitively intact LTC residents with chronic wounds were interviewed using a semi-structured guide. Interviews were analyzed inductively through multiple coding cycles, consensus-building, and member checking.
Results:
Four interrelated themes were constructed: Lack of Independence, Confinement and Limitations, Interruptions to Daily Life, and Emotional Sequelae. Participants described physical and emotional burdens, a reliance on staff, and disruptions to routines and relationships. Despite challenges, most expressed appreciation for the wound care received in the facility.
Conclusion:
Chronic wounds deeply affect quality of life and identity. Clinicians should recognize the emotional and social dimensions of wound care. Results can help guide clinicians in LTC facilities to improve residents' wound healing and promote overall QoL.
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