title: Management of a complex wound in a person with spinal cord injury and mental illness.
abstract: This paper highlights the important nexus between physical and mental health by examining a case concerning a patient with a lower spinal cord injury and mental illness who subsequently developed two pressure ulcers. It examines how clinicians can benefit from looking beyond typical assumptions when caring for an individual with complex needs in the community setting. In such circumstances, the need for a holistic and collaborative approach to wound care is vital. This involves taking into account the individual's mental health care needs, which can be overlooked in the first instance. Recommendations for clinical practice centre on involving the patient in his or her dietary, psychological and physical care, thereby helping to build resilience to any mental health problems and promoting a positive physical recovery.
authors.affiliation: School of Nursing and Midwifery, University of South Australia. Craig.Phillips@unisa.edu.au
authors.forename: C
authors.initials: C
authors.lastname: Phillips
authors.forename: N
authors.initials: N
authors.lastname: Procter
mesh_terms: D003152:Community Health Nursing; D003646:Debridement; D003866:Depressive Disorder / Q000150:complications* / Q000175:diagnosis / Q000517:prevention & control; D006301:Health Services Needs and Demand; D006694:Holistic Health; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D010264:Paraplegia / Q000150:complications* / Q000534:rehabilitation; D010353:Patient Education as Topic; D003668:Pressure Ulcer / Q000209:etiology / Q000628:therapy*; D012307:Risk Factors; D017592:Skin Care; D013119:Spinal Cord Injuries / Q000150:complications* / Q000534:rehabilitation