Application of concepts of concordance and health beliefs to individuals with pressure ulcers

Abstract

The management of individuals with chronic health conditions, including patients with non-healing or complex wounds, is a challenge for healthcare systems. Current initiatives within the UK encourage patients to take an active role in managing their own health. To facilitate this, it is essential that healthcare professionals understand how health beliefs can influence health behaviours. This article examines theoretical frameworks, such as the health belief model and the multidimensional locus of control scale, and discusses the key features of concordance. Concepts of concordance, including shared decision making and patient-centred practice, are applied to research involving individuals with pressure ulcers. Consideration is also given to psychosocial factors such as cultural differences, quality of life and coping mechanisms.