Poor healing can result in wound disruption which not only affects the patient's quality of life, but may also delay adjuvant therapies, increase post-operative discomfort, delay return to activity, and increase costs as a result of re-intervention, longer hospitalization and readmission. Pain, particularly during dressing change remains a central and significant factor. Apart from the distress caused, pain can lead to feelings of anxiety, anger and depression (Woo, 2010). Accurate pain assessment and understanding of the type of pain, helps with decisions about when and how to give analgesia and what information needs to be shared with the multidisciplinary team (Taylor, 2010). A number of risk factors can be mitigated during the perioperative period, suggesting that the risk of developing wound disruption in vulnerable patients can be reduced. Additionally, taking into consideration a significant percentage of wound disruption events occur following hospital discharge, it seems logical to take all necessary steps to prevent this complication.
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