How Depression And Anxiety Affect Patient Adherence

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Nancy R. Megas MSN, CRNP

Final Notes

   Incorporating these screening tools in our office protocols also makes a clear statement to our patients that we understand chronic wound healing requires attention to psychological as well as physical health. By modeling behavior that destigmatizes and stresses the importance of mental health, and by insisting on tight glycemic control, we have an opportunity to make real progress with our patients with diabetes.

Ms. Megas is a nurse practitioner with the Center for Wound Healing at Georgetown University Hospital in Washington, DC.
Dr. Steinberg is an Assistant Professor in the Department of Plastic Surgery at the Georgetown University School of Medicine in Washington, D.C. Dr. Steinberg is a Fellow of the American College of Foot and Ankle Surgeons.


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Petersays: October 20, 2010 at 10:54 am

Great article! I couldn’t agree more with the concept that too many physicians overlook the possibility of anxiety and depression as major contributing factors in certain symptoms experienced by their patients.

I guess that our education is still too classical in that it doesn’t encourage us to see the clear-cut causality between mental states and physical phenomena. Hopefully, articles such as this will help people realize that even their wounds will heal faster if they nourish a happy and content state of being.

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