Clinical guidelinesInternational consensus: Optimising wellbeing in people living with a wound

International consensus: Optimising wellbeing in people living with a wound

Wellbeing and concordance

International consensus: Optimising wellbeing in people living with a woundAlthough health care has increasingly become patient-centred, clinicians, healthcare organisations and industry all have important roles in ensuring that care is delivered effectively and takes account of the complex needs of individuals living with a wound.

In February 2011 a group of wound care health professionals and researchers met in Cape Town, South Africa to establish a framework that would help to ensure that clinicians are able to maximise patient wellbeing when delivering effective wound care. The meeting was not concerned simply with the quality of the treatment of individual wounds, but rather the human cost of living with a wound and the role of clinicians, industry and organisations in addressing patient wellbeing.

This was followed up by a consensus meeting in May 2011 in Brussels, Belgium, which was attended by key experts from Europe, the USA and Australia, providing a diverse range of experience and backgrounds, including medical, nursing, allied health professions and industry researchers. Following the consensus meeting, a draft document was produced, which underwent extensive review by the expert working group. Additional international experts were also consulted to reflect practice across different geographies. It culminated in consensus on all statements as indicated by sign off from each member of the expert working group.

In October 2011, a workshop was held with two service user groups at the University of Leeds in the UK. The aim of the workshop was to gain insight into the impact of living with a wound on patients, their carers and family members. Members of the Pressure Ulcer Research Service User Network (PURSUN UK) and the Bradford Wound Care Group discussed their personal experiences and went on to contribute to the text review process. Their quotes are used to illustrate points throughout this document.  

This document aims to:

  • increase stakeholders' understanding of the impact of living with a wound on the wellbeing of individuals and their carers
  • improve clinicians' ability to share decisions about treatment with individuals and their carers to help improve concordance and reduce complications
  • emphasise importance of good listening skills and highlight ways to enter into a dialogue about wellbeing
  • increase stakeholders' ability to implement strategies for cost-effective wound management that optimises wellbeing and involves all key stakeholders.

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