Patients with chronic leg ulcers describe their experience as challenging and difficult. Patients experience their body as unreliable, which in their daily life means that it may be a source of social embarrassment – and possibly eventual isolation due to symptoms such as bad smell, excess of exudate, and pain.1
There are several types of wound pain but of relevance to the use of Medi-Solfen® is the pain type described as “procedural/operative” which is pain that results from routine procedures such as dressing changes or wound cleansing, or is associated with significant wound interventions, such as biopsies or sharp debridement. Sharp debridement of non-viable tissue is a frequent treatment modality for leg ulcers patients. However, the procedure is not well tolerated and patients will often ask the clinicians to stop before the debridement is completed because of the pain2,3,4
It is possible that patients will deny future consent for the sharp debridement if the first experience was painful. This poses difficulties in providing optimal care and in achieving healing in a timely manner. Delayed healing eventually creates additional costs and deterioration in the patient’s quality of life. Debridement procedures are painful not only during the procedure but hours and days after the procedure as well.
The NHS aims at providing patients with a positive experience of the health system, of physical comfort and advocates emotional support and alleviation of fear and anxiety about such issues as clinical status and its treatment5. In this perspective one could say that management of pain is a marker of the quality of care and a way of improving people’s when the wound did not hurt. When patients felt an ease or absence of pain they interpreted it as a positive sign of wound healing, which made them feel hopeful and optimistic6. Pain measurement within the holistic process of quantifying impact on a patient’s quality of life could and probably will become a key goal for future initiatives.