I have had several requests to cover the topic of pain control during dressing changes. So, over the next month I will discuss several topics related to pain and wound management. I thought it would be best to point out an established model that will be a useful framework for this discussion. The Wound Pain Management Model (WPM) (Coloplast) provides a comprehensive framework for pain control (by etiology, wound condition, and pain descriptive specifics). The WPM model also specifies three types of treatment for pain at rest, dressing removal, cleansing, and during debridement. These treatment categories include: First, local (non-pharmacological or active) treatments. Second, psycho-social aspects of wound pain treatment. Finally, systemic treatment for nociceptive and neuropathic pain (Coloplast,2008. Wound Pain Management Model).
To review the WPM model click this link:
Matthew Livingston R.N. C.W.S.