Shaping the trajectory of patients with venous ulceration in primary care.

摘要: Objective To explore the patient’s experience of venous ulceration and how it is shaped within primary care. Design Qualitative grounded theory study. Participants setting Thirty-nine patients, 33 nurses 14 general practitioners in a major health district England. Results The findings indicate that patients with chronic condition hypertension are handled an anomalous way care when they present ulcers on their lower limbs. The trajectory projections for not developed from usual basis medically defined condition-specific diagnosis but symptom-specific diagnosis. This leads to unusual context where there serious unrecognized conflict focus between patients. this study tended set priorities related ulcer underlying pathology, whereas wanted help pain management normalizing lives. eventually came position ‘guarded alliance’2 took one three forms: adapting enduring, emphasizing positive, or negotiating comfort. Conclusion The acute approach applied led situation professionals usurped self-care potential navigated rather than piloted them through phase illness. turn, poor quality life many frustration who were failing achieve outcomes desired. Both perspectives need be encapsulated into treatment condition: healing patients’ lives can should form care.