References
Development of the middle-range theory of wound itch
Abstract
The problem of itch occurring with chronic wounds has been recognised, but is often ignored in practice. This paper describes the process of how the ‘theory of wound itch’ was formulated from Levine's conservation model. Concepts and propositions from the conceptual model were used to develop the theory. The theory will provide a basis for nursing research and practice.
In wound care practice, the problem of itch occurring with chronic wounds has been recognised, but is often ignored in practice. Wound-related itch has been found to affect 28% of people with chronic wounds (Paul, 2013) and can reduce quality of life, interfere with sleep and cause depression and anxiety (Upton et al, 2013). Additionally, the scratching and rubbing resulting from the itching cause further trauma to the wound and surrounding skin (Upton et al, 2013).
Itch can be highly distressing to a person with a wound so should be a priority in wound management (Parnell, 2018). As the discipline of nursing is held to be responsible for ‘conserving life, alleviating suffering, and promoting health’, the problem is appropriate for nursing inquiry (Carper, 1978: 20).
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