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Marked restrictions in activities of daily liv- ing (ADLs) among those with leg ulcers are also reported in many studies, including those by Hyland et al.
In terms of changing one's own clothing and bathing, pain, leg edema, fatigue, and bulky dressings can make such simple acts frustrat- ing, if not impossible.26,33-35 Phillips et al.31 conducted personal interviews of 73 patients with leg ulcers, 81% of whom described their mobility and ability to carry out ADLs as adversely affected by their ulcer, with edema being the dominant factor.
Lack of a known time scale for healing is a common complaint from patients, lead- ing to increased frustration, depression, and restricted ADLs by those with leg ulcers,4,32, 44-47 pressure ulcers,48 and other types of wounds.
Physical, somatic, financial, and medical res- trictions can result in limitations on a patient's ability to engage in ADLs, further impacting the psychological and emotional ramifica- tions of the wound experience.
Wound documentation is often found scattered throughout the chart in activity of daily living (ADL) forms, nursing assessments, narrative notes, wound assessment forms, and many other sections.
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