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Family, Friends and Social Support

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Psychology of Wounds and Wound Care in Clinical Practice

Abstract

The focus for most of the other chapters in this text has been on the person with the wound and the significant psychosocial problems that they may have to confront. However, in this chapter we explore the broader social situation and how this can impact on the individual with the wound and how, in turn, that patient influences it. The concept of social support is outlined, what it is, it’s relationship to health and how this relationship comes about. The relevance to wound care is articulated and how this information can be used to develop social support interventions that can improve concordance, psychological well-being and subsequently wound healing. One specific form of social support- that received from the family and the spouse or partner in particular is explored in detail. Not only are the positive benefits to the individual with the wound detailed but the burden that may result from providing this support outlined. Social support is an important element in wound care and its impact should be harnessed by the health care professional to enhance wound healing and psychological well-being. However, the health care professional should also remember not to neglect the broader family who may all be placed under considerable burden and stress by the presence of an individual with a wound.

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References

  • Aoun SM, Kristjanson LJ, Currow DC, Hudson PL. Caregiving for the terminally ill: at what cost? Palliat Med. 2005;19:551–5.

    Article  PubMed  Google Scholar 

  • Aranda S, Hayman-White L. Home caregivers of the person with advanced cancer: an Australian perspective. Cancer Nurs. 2001;24(4):1–7.

    Article  Google Scholar 

  • Baanders AN, Heijmans MJWM. The impact of chronic disease. Fam Community Health. 2007;30:305–17.

    Article  PubMed  Google Scholar 

  • Baharestani MM. The lived experience of wives caring for their frail, homebound, elderly husbands with pressure ulcers. Adv Wound Care. 1994;7(3):40–2, 44–6, 50 passim.

    CAS  PubMed  Google Scholar 

  • Bennett JM, Fagundes CP, Kiecolt-Glaser JK. The chronic stress of caregiving accelerates the natural aging of the immune system. In Immunosenescence. New York: Springer; 2013. p. 35-46.

    Google Scholar 

  • Berkman LF. The Role of Social Relations in Health Promotion. Psychosom Med. 1995;57(3):245–54.

    Article  CAS  PubMed  Google Scholar 

  • Berkman LF, Syme LS. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda county residents. Am J Epidemiol. 1979;109(2):186–204.

    CAS  PubMed  Google Scholar 

  • Brown G. Long-term outcomes of full-thickness pressure ulcers: Healing and mortality. Ostomy Wound Manage. 2003;49(10):42–50.

    PubMed  Google Scholar 

  • Brown A. Chronic leg ulcers, part 1: do they affect a patient’s social life? Br J Nurs. 2005a;14(17):894–8.

    Article  PubMed  Google Scholar 

  • Brown A. Chronic leg ulcers, part 2: do they affect a patient’s social life? Br J Nurs. 2005b;14(18):986–9.

    Article  PubMed  Google Scholar 

  • Brown G. Speech to the volunteering conference, London, 2005c. 31 Jan 2005.

    Google Scholar 

  • Brown A. Does social support impact on venous ulcer healing or recurrence? Br J Community Nurs. 2008;13(3 Suppl):S8–15.

    Article  Google Scholar 

  • Brown A. Managing chronic venous leg ulcers part 2: time for a new pragmatic approach? J Wound Care. 2010;19(3):85–95.

    Article  CAS  PubMed  Google Scholar 

  • Brummett BH, Barefoot JC, Siegler IC, Clapp-Channing NE, Lytle BL, Bosworth HB, Williams Jr RB, Mark DB. Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom Med. 2001;63:267–72.

    Article  CAS  PubMed  Google Scholar 

  • Buckner L, Yeandle S. Calculating the value of carers’ support. Carers UK Report; London: Carers UK; 2011. p. 15. ISBN 978 1 873747 02 5.

    Google Scholar 

  • Charles H. The Lindsay leg club model. EWMA J. 2010;10(3):38–40.

    Google Scholar 

  • Cohen S. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol. 1988;7(3):269.

    Article  CAS  PubMed  Google Scholar 

  • Cohen L, Manion L, Morrison K. Research Methods in Education. 5th ed. London: Routledge Falmer; 2000.

    Book  Google Scholar 

  • Coyne JC, Smith DA. Couples coping with a myocardial infarction: A contextual perspective on wives’ distress. J Pers Soc Psychol. 1991;61(3):404–12.

    Article  CAS  PubMed  Google Scholar 

  • Detillion CE, Craft TK, Glasper ER, Prendergast BJ, DeVries AC. Social facilitation of wound healing. Psychoneuroendocrinology. 2004;29(8):1004–11.

    Article  CAS  PubMed  Google Scholar 

  • Douglas V. Living with a chronic leg ulcer: an insight into patients’ experiences and feelings. J Wound Care. 2001;10(9):355–60.

    Article  CAS  PubMed  Google Scholar 

  • Edwards H, Courtney M, Finlayson K, et al. Improved healing rates for chronic venous leg ulcers: Pilot study results from a randomized controlled trial of a community nursing intervention. Int J Nurs Pract. 2005;11:169–76.

    Article  PubMed  Google Scholar 

  • Edwards H, Courtney M, Finlayson K, Shuter P, Lindsay E. A randomised controlled trial of a community nursing intervention: improved quality of life and healing for clients with chronic leg ulcers. J Clin Nurs. 2009;18(11):1541–9.

    Article  PubMed  Google Scholar 

  • Ell K. Social networks, social support, and coping with serious illness: The family connection. Soc Sci Med. 1996;42(2):173–83.

    Article  CAS  PubMed  Google Scholar 

  • Ertel KA, Glymour MM, Berkman LF. Social networks and health: a life course perspective integrating observational and experimental evidence. J Soc Personal Relationships. 2009;26(1):73–92.

    Article  Google Scholar 

  • Everson-Rose SA, Lewis TT. Psychosocial factors and cardiovascular diseases. Annu Rev Public Health. 2005;26:469–500.

    Article  PubMed  Google Scholar 

  • Finlayson K, Edwards H, Courtney M. Relationships between preventive activities, psychosocial factors and recurrence of venous leg ulcers: a prospective study. J Adv Nurs. 2011;67(10):2180–90.

    Article  PubMed  Google Scholar 

  • Frasure-Smith N, Lesp’erance F, Gravel G, Masson A, Juneau M, Talajic M, Bourassa MG. Social support, depression, and mortality during the first year after myocardial infarction. Circulation. 2000;101:1919–24.

    Article  CAS  PubMed  Google Scholar 

  • Freeman E, Gibbins A, Walker M, Hapeshi J. ‘Look after your legs’: patients’ experience of an assessment clinic. Br J Community Nurs. 2007;12(Sup1):S19–25.

    Article  PubMed  Google Scholar 

  • Gibbons C, Dempster M, Moutray M. Stress, coping and satisfaction in nursing students. J Adv Nurs. 2011;67(3):621–32.

    Article  PubMed  Google Scholar 

  • Glasdam S, Timm H, Vittrup R. Support efforts for caregivers of chronically ill persons. Clin Nurs Res. 2010;19:233–65.

    Article  PubMed  Google Scholar 

  • Gleeson-Kreig J, Bernal H, Woolley S. The role of social support in the self-management of diabetes mellitus among a Hispanic population. Public Health Nurs. 2002;19:215–22.

    Article  PubMed  Google Scholar 

  • Gordon L, Edwards H, Courtney M, Finlayson K, Shuter P, Lindsay E. A cost-effectiveness analysis of two community models of nursing care for managing chronic venous leg ulcers. J Wound Care. 2006;15(8):348.

    Article  CAS  PubMed  Google Scholar 

  • Gore S. Stress-buffering functions of social supports: An appraisal and clarification of research models. In: Dohrenwend B, Dohrenwend B, editors. Stressful life events and their context. New York: Prodist; 1981. p. 202–22.

    Google Scholar 

  • Harker J. Influences on patient adherence with compression hosiery. J Wound Care. 2000;9(8):379–82.

    Article  CAS  PubMed  Google Scholar 

  • Helgeson VS. Social support and quality of life. Qual Life Res. 2003;12(1):25–31.

    Article  PubMed  Google Scholar 

  • Heinen M, Borm G, van der Vleuten C, Evers A, Oostendorp R, van Achterberg T. The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial. Int J Nurs Stud. 2012;49:151–61.

    Article  PubMed  Google Scholar 

  • Herber OR, Schnepp W, Rieger MA. A systematic review on the impact of leg ulceration on patients’ quality of life. Health Qual Life Outcomes. 2007;5(44):1–12.

    Google Scholar 

  • Hibbard JH, Pope CR. The quality of social roles as predictors of morbidity and mortality. Soc Sci Med. 1993;36:217–25.

    Article  CAS  PubMed  Google Scholar 

  • Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: A meta-analytic review. PLoS Med. 2010;7(7):e1000316.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hopkins A. Disrupted lives: investigating coping strategies for non-healing leg ulcers. Br J Nurs. 2004a;13(9):556–63.

    Article  PubMed  Google Scholar 

  • Hopkins A. The use of qualitative research methodologies to explore leg ulceration. J Tissue Viability. 2004b;14(4):142–7.

    Article  PubMed  Google Scholar 

  • Hopkins A, Dealey C, Bale S, DeFloor T, Worboys F. Patient stories of living with a pressure ulcer. J Adv Nurs. 2006;56(4):345–53.

    Article  PubMed  Google Scholar 

  • Johansson S, FahlstrÅ¡m G. Good intentions. Vardi Norden. 1993;13:15–22.

    CAS  Google Scholar 

  • Jones JE, Robinson J, Barr W, Carlisle C. Impact of exudate and odour from chronic venous leg ulceration. Nurs Stand. 2008a;22(45):53–61.

    Article  CAS  PubMed  Google Scholar 

  • Jones RA, Taylor AG, Bourguignon C. Family interactions among African American Prostate Cancer Survivors. Fam Community Health. 2008b;31(3):213–20.

    Article  PubMed Central  PubMed  Google Scholar 

  • Keeling D, et al. Social support some pragmatic implications for health care professionals. J Adv Nurs. 1996;23(1):76–81.

    Article  CAS  PubMed  Google Scholar 

  • Kiecolt-Glaser JK, Newton TL. Marriage and health: his and hers. Psychol Bull. 2001;127:472–503.

    Article  CAS  PubMed  Google Scholar 

  • Kiecolt-Glaser JK, Marucha PT, Malarkey WB, Mercado AM, Glaser R. Slowing of wound healing by psychological stress. Lancet. 1995;346:1194–6.

    Article  CAS  PubMed  Google Scholar 

  • Kiecolt-Glaser JK, McGuire L, Robles TF, Glaser R. Psychoneuroimmunology: psychological influences on immune function and health. J Consult Clin Psychol. 2002;70:537–47.

    Article  PubMed  Google Scholar 

  • Lee M, Rotheram-Borus MJ. Challenges associated with increased survival among parents living with HIV. Am J Public Health. 2001;91:1303–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Lewis MA, Rook KS. Social control in personal relationships: Impact on health behaviors and psychological distress. Health Psychol. 1999;18:63–71.

    Article  CAS  PubMed  Google Scholar 

  • Li R, Cooper C, Bradley J, Shulman A, Livingston G. Coping strategies and psychological morbidity in family carers of people with dementia: a systematic review and meta-analysis. J Affect Disord. 2011;139:1–11.

    Article  PubMed  Google Scholar 

  • Lin N. Conceptualizing social support. In: Lin N, Dean A, Ensel W, editors. Social support, life events, and depression. New York: Academic; 1986. p. 17–30.

    Chapter  Google Scholar 

  • Lindsay E. Leg clubs: A new approach to patient-centred leg ulcer management. Nurs Health Sci. 2000;2(3):139–41.

    Google Scholar 

  • Lindsay E. The Lindsay Leg Club a model for evidence-based leg ulcer management. Br J Community Nurs. 2004;9(6 Suppl):S15–20.

    Article  Google Scholar 

  • Lindsay E. Legging it to the Club. Pract Manage. 2008;18(3):26–7.

    Google Scholar 

  • Lindsay E. Changing policy and practice to empower older people living with chronic wounds. Symposium abstract; The 20th IAGG World congress of gerontology and geriatrics, Korea. 2013.

    Google Scholar 

  • Maida V, et al. Symptoms associated with malignant wounds: a prospective case series. J Pain Symptom Manage. 2009;37(2):206–11.

    Article  PubMed  Google Scholar 

  • Manne SL, Zautra AJ. Couples coping with chronic illness. J Behav Med. 1990;13:327–42.

    Article  CAS  PubMed  Google Scholar 

  • McDonald J, Hayes L. Promoting resilience in young people: progress in implementing a framework in schools. Health Promot J Austr. 2001;12:261–4.

    Google Scholar 

  • Moffatt CJ, Franks PJ, Doherty DC, et al. Socio-demographic factors in chronic leg ulceration. Br J Dermatol. 2006;155(2):307–12.

    Article  CAS  PubMed  Google Scholar 

  • Moffatt C, Kommala D, Dourdin N, Choe Y. Venous leg ulcers: patient concordance with compression therapy and its impact on healing and prevention of recurrence. Int Wound J. 2009;6:386–93.

    Article  PubMed  Google Scholar 

  • Moos RH, Moos BS. Manual for Familiy Environment Scale. Palo Alto: Consulting Psychologists Press; 1981.

    Google Scholar 

  • Munro I, Edward KL. The burden of care of gay male carers caring for men living with HIV/AIDS. Am J Mens Health. 2010;4:287.

    Article  PubMed  Google Scholar 

  • Oddone CG, Hybels CF, McQuid DR, Steffens DC. Social support modifies the relationship between personality and depressive symptoms in older adults. Am J Geriatr Psychiatry. 2011;19(2):123–31.

    Article  PubMed Central  PubMed  Google Scholar 

  • Oehlenslaeger B. You miss the one you still got. Special Poedagogik. 1998;18:104–13.

    Google Scholar 

  • Ousey KJ, Gillibrand W, Stephenson J. Achieving international consensus for the prevention of orthopaedic wound blistering: results of a Delphi survey. Int Wound J. 2013;10(2):177–84.

    Article  PubMed  Google Scholar 

  • Ozbay F, Johnson DC, Dimoulas E, Morgan III CA, Charney D, Southwick S. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont). 2007;4(5):35.

    Google Scholar 

  • Parker PD, LĂ¼dtke O, Trautwein U, Roberts B. Personality and relationship quality during the transition from high school to early adulthood. J Pers. 2012;80:1061–81.

    Article  PubMed Central  PubMed  Google Scholar 

  • Persoon A, Heinen M, van der Vleuten C, de Rooij M, van de Kerkhof P, van Achterberg T. Leg ulcers: a review of their impact on daily life. J Clin Nurs. 2004;13(3):341–54.

    Article  PubMed  Google Scholar 

  • Price P, et al. Why combine a foam dressing with ibuprofen for wound pain and moist wound healing? Int Wound J. 2007;4(S1):1–3.

    Article  PubMed  Google Scholar 

  • Quick JD, Nelson DL, Matuszek PA, Whittington JL, Quick JC. Social support, secure attachments, and health. In: Cooper CL, editor. Handbook of stress, medicine, and health. Boca Raton: CRC Press; 1996. p. 269–87.

    Google Scholar 

  • Rees J, O’Boyle CA, MacDonagh R. Quality of life. J R Soc Med. 2001;94:563–6.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Riemsma RP, Taal E, et al. The burden of care for informal caregivers of patients with rheumatoid arthritis. Psychol Health. 1999;14:773–94.

    Article  Google Scholar 

  • Russell D, Cutrona CE, Rose J, Yurko K. Social and emotional loneliness: an examination of Weiss’s typology of loneliness. J Pers Soc Psychol. 1984;46(6):1313.

    Article  CAS  PubMed  Google Scholar 

  • Sales E. Family burden and quality of life. Qual Life Res. 2003;12(1):33–41.

    Article  PubMed  Google Scholar 

  • Sapolsky R. Why Zebras Don’t Get Ulcers: A Guide to Stress, Stress-Related Diseases and Coping. 3rd ed. New York: Holt; 2004.

    Google Scholar 

  • Sarason BR. Social support, social behaviour and cognitive processes. In: Schwartzer R, editor. Self regulated cognitions in anxiety and motivation. Hillsdale: Lawrence Erlbaum; 1986. p. 71–86.

    Google Scholar 

  • Sarason IG, Levine HM, Basham RB, Sarason BR. Assessing social support: The social support questionnaire. J Pers Soc Psychol. 1983;44:127–39.

    Article  Google Scholar 

  • Sarason IG, Sarason BR, Shearin EN, Pierce GR. A brief measure of social support: Practical and theoretical implications. J Soc Pers Relationships. 1987;4(4):497–510.

    Article  Google Scholar 

  • Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705–14.

    Article  CAS  PubMed  Google Scholar 

  • Shuter P, Finlayson K, Edwards H, Courtney MH, Herbert C, Lindsay E. Leg Clubs – Beyond the ulcers: case studies based on participatory action research. Wound Pract Res. 2011;19(1):16–20.

    Google Scholar 

  • Solowiej K, Upton D. Take it easy: how the cycle of stress and pain associated with wound care affects recovery. Nurs Residential Care. 2010a;12(9):443–6.

    Article  Google Scholar 

  • Solowiej K, Upton D. The assessment and management of pain and stress in wound care. Br J Community Nurs. 2010b;15(6):S26–33.

    Article  Google Scholar 

  • Soubhi H, Fortin M, Hudson C. Perceived conflict in the couple and chronic illness management. BMC Fam Practit. 2006;7:59.

    Article  Google Scholar 

  • Spence A, Hasson F, Waldron M, et al. Active carers: living with chronic obstructive pulmonary disease. Int J Palliat Nurs. 2008;14(8):368–72.

    Article  PubMed  Google Scholar 

  • Thoits PA. Stress and Health: Major Findings and Policy Implications. J Health Soc Behav. 2010;51:S41.

    Article  PubMed  Google Scholar 

  • Thoits PA. Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav. 2011;52(2):145–61.

    Article  PubMed  Google Scholar 

  • Thomas C, Morris SM, Harman JC. Companions through cancer: the care given by informal carers in cancer contexts. Soc Sci Med. 2002;54:529–44.

    Article  PubMed  Google Scholar 

  • Toshima MT, Kaplan RM, Ries AL. Experimental evaluation of rehabilitation in chronic obstructive pulmonary disease: short-term effects on exercise endurance and health status. Health Psychol. 1990;9(3):237.

    Article  CAS  PubMed  Google Scholar 

  • Trief PM, Sandberg J, Greenberg RP, et al. Describing support: a qualitative study of couples living with diabetes. Fam Syst Health. 2003;21(1):57–67.

    Article  Google Scholar 

  • Troup CL, Dewe PL. Exploring the nature of control and its role in the appraisal of workplace stress. Work Stress. 2002;16:335–55.

    Article  Google Scholar 

  • Uchino BN. Social support and physical health: Understanding the health consequences of relationships. New Haven: Yale University Press; 2004.

    Book  Google Scholar 

  • Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med. 2006;29(4):377–87.

    Article  PubMed  Google Scholar 

  • Umberson D. Family status and health behaviors: Social control as a dimension of social integration. J Health Soc Behav. 1987;28(3):306–19.

    Article  CAS  PubMed  Google Scholar 

  • Umberson D, Montez JK. Social relationships and health: a flashpoint for health policy. J Health Soc Behav. 2010;51:S54–66.

    Article  PubMed Central  PubMed  Google Scholar 

  • Upton D, Andrews A. Negative Pressure Wound Therapy: Improving the Patient Experience, Part Two of Three. J Wound Care. 2013a;22(11):582–91.

    Article  CAS  PubMed  Google Scholar 

  • Upton D, Andrews A. Negative Pressure Wound Therapy: Improving the Patient Experience, Part One of Three. J Wound Care. 2013b;22(10):552–7.

    Article  CAS  PubMed  Google Scholar 

  • Upton D, Andrews A. Pain and trauma in negative pressure wound therapy: a review. Int Wound J. 2013c; Advance online publication.

    Google Scholar 

  • Vermeiden J, Doorn L, Da Costa AMD, Kaptein AA, Steenvoorde P. Coping strategies used by patients with chronic and/or complex wounds. Wounds. 2009;21(12):324–8.

    Google Scholar 

  • Victor CR, Scambler S, Shah S, Cook DG, Harris T, Rink E, de Wilde S. Has loneliness amongst older people increased? An investigation into variations between cohorts. Ageing Soc. 2002;22(1):1–13.

    Google Scholar 

  • Vitaliano PP, et al. Is caregiving hazardous to one’s physical health? A meta-analysis. Psychol Bull. 2003;129(6):946–72.

    Article  PubMed  Google Scholar 

  • Weller CD, Buchbinder R, Johnston RV. Interventions for helping people adhere to compression treatments for venous leg ulceration. Cochrane Database Syst Rev. 2013;(9):CD008378.

    Google Scholar 

  • White Y, Greyner B. The bio-psychosocial impact of end-stage renal disease: The experience of dialysis patients and their partners. J Adv Nurs. 1999;30(6):1312–20.

    Article  CAS  PubMed  Google Scholar 

  • Wise G. The social ulcer. Nurs Times. 1986;82(21):47–9.

    CAS  PubMed  Google Scholar 

  • Wissing U, Ek AC, Unosson M. A follow-up study of ulcer healing, nutrition, and life-situation in elderly patients with leg ulcers. J Nutr Health Aging. 2001;5(1):37–42.

    CAS  PubMed  Google Scholar 

  • Woods B. Promoting well-being and independence for people with dementia. Int J Geriatr Psychiatry. 1999;14:97–109.

    Article  CAS  PubMed  Google Scholar 

  • Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. J Pers Assess. 1988;52:30–41.

    Article  Google Scholar 

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Upton, D., Upton, P. (2015). Family, Friends and Social Support. In: Psychology of Wounds and Wound Care in Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-09653-7_8

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