A review of interventions to reduce pain in chronic wounds

Br J Community Nurs. 2019 Dec 1;24(Sup12):S12-S17. doi: 10.12968/bjcn.2019.24.Sup12.S12.

Abstract

Reduction of chronic wound pain has the potential to improve patients' quality of life, expedite the healing process and, ultimately, relieve pressure on community services. Despite this, education on pain assessment in the management of chronic wounds is lacking. This literature review seeks to provide evidence-based recommendations to reduce chronic wound pain and inform the practice of community nurses. The results of a thematic analysis indicate that a honey dressing or native collagen matrix dressing and conditioning exercises for the lower leg can reduce pain, and nitroglycerin ointment is especially effective. The review also highlights the need for an individualised approach to the assessment and treatment of pain in patients with chronic wounds.

Keywords: Chronic wounds; Evidence-based practice; Honey; Nitroglycerin ointment; Pain.

Publication types

  • Review

MeSH terms

  • Anesthetics, Local / administration & dosage
  • Apitherapy
  • Bandages
  • Chronic Disease
  • Chronic Pain / etiology
  • Chronic Pain / nursing*
  • Chronic Pain / prevention & control*
  • Collagen / therapeutic use
  • Community Health Nursing*
  • Exercise Therapy
  • Honey
  • Humans
  • Nitroglycerin / administration & dosage
  • Ointments
  • Quality of Life
  • Wound Healing / physiology
  • Wound Infection / drug therapy
  • Wound Infection / physiopathology
  • Wounds and Injuries / physiopathology*
  • Wounds and Injuries / therapy

Substances

  • Anesthetics, Local
  • Ointments
  • Collagen
  • Nitroglycerin