Health Related Quality of Life (HRQOL) Implications for People with Pressure Ulcers
Improved health related quality of life (HRQOL) and symptom management are important objectives for the management of pressure ulcers given the high morbidity associated with these wounds. Previous pressure ulcer studies have frequently associated increased pain, high levels of wound exudate and odour as factors reducing the HRQOL of people with pressure ulcers. Such impact extends beyond the person with the pressure ulcer affecting family members and carers. It is generally recognised that healthcare professionals may underestimate the impact of pressure ulcers upon HRQOL.
Pressure ulcers place increased financial pressures upon healthcare systems, individual healthcare facilities and upon individuals with pressure ulcers. Recent recognition that pressure ulcers are one indicator of the quality of healthcare delivery has had significant impact upon increasing healthcare professional and patient information and education to deliver improved coproduction of effective pressure ulcer prevention and management.
Formal measurement of HRQOL among people with pressure ulcers presents significant challenges where self-reporting of HRQOL is restricted by the clinical condition of the people with pressure ulcers. Regardless generic quality of life tools have been used to show reductions in both physical and mental components of HRQOL when people with and without pressure ulcers are compared adjusting for age, gender and co-morbidities.
KeywordsHealth related quality of life Quality indicator Pain Odour Exudate Pressure ulcer Symptom management Patient reported outcome measures Social isolation Education Body image
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