Self-inflicted wounding. 2: Identification, assessment and management.
The spectrum of conditions associated with self-inflicted wounding and their presenting features were outlined in the first part of this article (Moffatt, 1999). In part two, the assessment and management of self-wounding patients is discussed. Manipulative behaviour can be a barrier to treatment, as well as a disruptive force within the healthcare team. Awareness of its effects are essential to the successful development of a therapeutic relationship. However, the current possibilities for effective treatment of self-wounding are limited, and there is an urgent need for more research into both its causes and the various management options available.
Moffatt
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Thames Valley University, Wolfson Institute of Health Sciences, Centre for Research and Implementation of Clinical Practice, London.
D005162:Factitious Disorders / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology; D006801:Humans; D009723:Nurse-Patient Relations; D009730:Nursing Assessment / Q000379:methods*; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology