One of the overriding goals of vulnoterapia, in the light of the holistic treatment of the patient, is precisely his social rehabilitation. It seems strange to talk about social recovery for a bearer of a skin ulcer or a wound, but instead is very important in the remaining life of the patient, especially for the elderly.
The patient because of his chronic skin ulcer, his wound difficult to treat is in a debilitating psychological situation, a situation of psychological minus compared to the rest of the population. Sometimes because it is not accepted, sometimes because it really has interpersonal difficulties, just think of the heavily exuding wounds or who have bad odor which limits greatly its ability to portability, its movement, being indipendent. This reduced range of motion may push the patient to confide in the therapist, in this case those who treat the wounds, and to ask for something more, which is already part of the holistic treatment which considers the real needs of the patient and not just the wound care but the ability to bring him back in the social dimension that in recent times he had lost depending how the wound was present.
The need strongly felt by the patient to be able to back part of the social fabric must be grasped immediately by the therapist, because this can influence the choice of the right medication. If the patient has a wound that has a bad odor must point to a medication that limits the possible propagation and therefore highly absorbent dressings, medications that totally attempt to limit the escape of odors themselves. This is a key element when you want to treat the patient in its global dimension.
If the patient can’t move because it suffers from severe pain, constant pain, the therapist must capture the essence, not so much medication that can point directly to healing, if possible, but will choose a medication effective for pain a medication that aims to restore the local conditions that are better tolerated by the patient. Perhaps lengthen healing times but certainly will have a very different therapeutic significance for the patient, who, with this type of dressing will have greater compliance, that is psychological availability towards the dressing that he is carrying.
These are not details but turn out to be the basic steps if you want to not only achieve healing but above all get in tune with the patient. Tuning and capacity to enter into a global connection with the patient, affective, emotional and mental is fundamental for the transfer to be realized with the therapist, who in this case does not act on the psyche, but on the skin, on the organic part, because at the basis of this type of injury there is a great emotional, psychological difficulty, a great social hindrance that, even if the patient does not show, strongly feels.