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What are the Psychological Issues of Patiets with Chronic Leg Ulcers?

What are the Psychological Issues of Patiets with Chronic Leg Ulcers?

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An essay for the 2012 Undergraduate Awards Competition by Karen Harte. Originally submitted for Research methods at None, with lecturer Rena Creedon in the category of Nursing & Midwifery
An essay for the 2012 Undergraduate Awards Competition by Karen Harte. Originally submitted for Research methods at None, with lecturer Rena Creedon in the category of Nursing & Midwifery

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Published by: Undergraduate Awards on Aug 30, 2012
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10/27/2013

 
 
Research Proposal
What are the Psychological Issues of Patientswith Chronic Leg Ulcers?
Karen Harte1087738232012
 
 
Karen Harte 108773823 UCC
Page 1
 
1.0 Introduction
Chronic leg ulcer is a condition of long duration, affecting a substantial percentage of the
Irish population (O‟Brien
et al.
2000), predominantly in the elderly (Ebbeskog &Ekman 2001). It is a condition of long duration, with individuals suffering fromcycles of ulceration, healing and re-ulceration (Chase
et al.
1997). Much of theresearch has been directed towards developing effective treatment strategies such ascompression therapy and guidelines for assessment (Walshe 1995). Studies have alsoreported some decreased quality of life in these individuals, predominantly because of pain, impaired mobility, malodour and exudate (Ebbeskog & Ekman 2001, Douglas2001). However, less attention has been directed towards how leg ulcers affect
 patient‟s psychological health and this is reflected in current management of leg
ulceration, as it focuses on wound healing.Section one of this proposal will examine the research exploring how chronic leg
ulcer impact on a patient‟s psyc
hological health, with emphasis on the restrictionsimposed on these individuals, in relation to the physical experience and thepsychological impacts of the chronic leg ulcer. Section two will detail the proposedresearch methodology to undertake a study to explore How Chronic leg Ulcers impact
on individual‟s psychological health in Ireland.
As there is a limited understanding of this issue, this study will enhance the body of knowledge, as treatment should be
 based on research. “As practice disciplines,
nursing and midwifery are particularlyconcerned with developing knowledge to guide practice and to improve the health andwell-
 being of those they serve” (
Polit & Beck 2004, cited by An Bord Altranais 2007p.6).
 
Karen Harte 108773823 UCC
Page 2
 
1.1 Problem StatementBackground:
Leg ulcers are a chronic problem, with individuals enduring cycles of ulceration, healing and re-ulceration. There is a growing awareness of how important
it is to understand the person‟s perspective on chronic illness experience.
The impactof living daily with a wound can only genuinely be understood, when seen from the
individual‟s
perspective of that experience. Much of the research that has beenconducted on leg ulceration has been focused on enhancing understanding of ulceraetiology and advancing treatment. What is missing from International and Irish
study‟s is how chronic leg ulceration impacts on an individual‟s psychological health.
Many choices in everyday nursing are influenced by the intention of providing goodquality and evidence based care. Current nursing care for leg ulcer patients focuseson wound care and providing compression therapy. Problems directly or indirectlyresulting from having ulcers are not systematically monitored or treated. In order toprovide comprehensive nursing care, establishing
an overview of the patient‟s
problems, including those relating to psychological health, is an essential step.
Relationship to existing body of knowledge
: Research conducted outside of Irelandhas identified that chronic leg ulcers are associated with decreased quality of life,restricted mobility, pain, social isolation, anxiety and depression (Franks & Moffatt1999, Charles 2004, Persoon
et al.
2004, Jones
et al.
2006). However, research hasalso identified that many health care professional fail to address the psychologicaleffects as they become intent on healing the actual wound (Rich
et al.
2003). Whilenurses recognized that their patients suffered from feelings of depression andisolation, they admitted that they did not address these feelings but focused on treating

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