CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2014; 04(03): 019-024
DOI: 10.1055/s-0040-1703794
Original Article

INSCIENCE, DAY TO DAY STRUGGLE AND DISTRESS: LIVED EXPERIENCES OF PATIENTS WITH CHRONIC LEG AND FOOT ULCER

Kirupa P.
1  Assistant Professor K. Pandyarajah Ballal College of Nursing, Someshwar Road, Ullal, Mangalore - 575 020, Karnataka, India
› Author Affiliations

Abstract

Chronic leg and foot ulcers leads to negative physical, physiological, social and psychological impact on clients and families, thus decreasing their quality of life. A qualitative study on experiences of person living with chronic venous ulcer in Sweden, reported that person living with chronic ulceration have experiencing the decreased wellbeing, pain and struggle between the hope and despair. In this study phenomenological design was used. Six participants were interviewed with interview schedule by the purposive sampling method. Lack of knowledge and ignorance, dressing and foot care, day to day struggle, discomforts, financial hardship, Emotional reaction and self-adaptive measures and supports were six themes identified in the Qualitative data analysis. It was reported that, feeling of fear, loneliness/sad were experienced by the patients. Severe pain in the wound site that interfere with day to day activities and produces stress in relation to meeting daily activities and difficulty in financial resources because of decreased work capacity and loss of job. The adaptive measures like massaging the around the wound, playing with children, doing small works in sitting position and accepting the situation, consuming alcohol and smoking were followed. Participant encountered herbal medicine worsens the leg ulcer. Results were highlighted the impact of the chronic leg and ulcer and psychological and emotional disturbances ignorance of adequate leg ulcer care inevitably increases the risk of amputation. Study recommended the intervention to deal the emotional disturbances in order to prevent the risk of distress and depression.



Publication History

Publication Date:
26 April 2020 (online)

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  • References

  • 1 www.who.int/chp/chronic_disease/report
  • 2 Vowden K, Vowden P, Posnett J. The resource costs of wound care in Bradford and Airedale primary care trust in the UK. Journal of Wound Care. 2009;18(3):93–98.
  • 3 K. Solowiej, BSc (Hons), V. Mason, PhD and D. Upton, PhD, FBPsS. psychological stress and pain in wound care part 2 Review of pain and assessment of tools. The journal of wound care vol 19, no 3, march 2010;page no:109-115.
  • 4 Gupta N, Gupta SK, Shukla VK, Singh SP. An Indian community-based epidemiological study of wounds. Journal of Wound Care. 2004 Sep;13(8):323-5.
  • 5 A world federation of mental health report. Nightingale nursing Times. Vol6, no.7. October 2010; page no:3-4.
  • 6 B. Ebbeskog RNT,BSC and S.L. Ekman RN Phd. Elderly persons experiences of living with chronic venous leg ulcer: Living in a dialectal relationship between freedom and imprisonment. Scotland Journal of caring Science,2001, Vol 15; Page No:235-243
  • 7 Douglas Harper, Tracey Gillies, Lynne Anderson, Fiona Bruce, Shonna Byrne, Duncan Dougall, Stewart Douglas, Clifford Eastmond, John Foster General, Kenneth Macdonald, Sheena MacDonald, Ian Taggart, Digby Thomas - The care of patients with chronic leg ulcer. Scottish Intercollegiate guidelines Network. July,1996, Vol 26; Page No:4-5.
  • 8 Hareendran A, Bradbury A, Budd J, Geroulakos G, Hobbs R, Kenkre J, Symonds T..Measuring the impact of venous leg ulcer on quality of life. Journal of wound Care. 2005 Feb;14(2):53-7.
  • 9 Jones JE, Robinson J, Barr W, Carlisle C. Impact of exudate and odour from chronic venous leg ulceration. Nurs ing Standard. 2008 Jul16-22;22(45):53-4, 56, 58.
  • 10 Oliver.R.Herber, Wilfried Schnepp and Monika A rieger. A systemic review on the impact of leg ulceration on patient's quality of life.Health and quality of life outcomes. 2007,July 25; Page no:524-44 www.pubmed.central.com.
  • 11 Stephen-Haynes J.The Leg Club model: a survey of staff and members' perceptions of this model of care. Journal of Wound Care. 2010 Sep;19(9):380, 382, 384 passim.
  • 12 Gale L, Vedhara K, Searle A, Kemple T and Campbell R.Patients' perspectives on foot complications in type 2 diabetes: a qualitative study. British Journal of General Practice. 2008 Aug;58(553):555-63.
  • 13 Freeman E, Gibbins A, Walker M, Hapeshi J 'Look after your legs': patients' experience of an assessment clinic. British Journal of Community Nursing. 2007 Mar;12(3):19-20.
  • 14 Briggs M and Flemming K. Living with leg ulceration: a synthesis of qualitative research. Journal of Advance Nursing. 2007 Aug;59(4):319-28.
  • 15 Hawkins J and Lindsay E. We listen but do we hear? The importance of patient stories. Source. British Journal of Community Nursing. 2006 Sep;11(9): S6-14.
  • 16 Hopkins A. Disrupted lives: investigating coping strategies for nonhealing leg ulcers. British Journal of Nursing. 2004 May 13-26;13(9):556-63.
  • 17 Ebbeskog B and Ekman SL. Elderly persons' experiences of living with venous leg ulcer: living in a dialectal relationship between freedom and imprisonment. Scandinavian Journal of Caring Sciences. 2001;15(3):235-43.