A guide to wound managment in palliative care.
Wound management in palliative patients is often a very challenging area of care. There are many unique issues that can combine to produce complicated wound management scenarios, including the types of wounds and wound symptoms most commonly affecting palliative care patients, as well as the presence of concurrent disease and associated treatment. Problems exist with the availability of suitable dressings and balancing life expectancy with the goals of wound care. A significant, and possibly under-recognized, issue is the emotional and social distress experienced by these patients, which can be directly attributed to their wound. These problems must all be recognized and addressed in order to manage wounds effectively in this patient population. This article aims to explore these issues and offer advice on the management of wound-related symptoms, with the ultimate goal of improving patients' quality of life.
Naylor
Wayne A
WA
Wellington Blood and Cancer Centre, Wellington Hospital, New Zealand.
D001294:Attitude to Health; D001458:Bandages / Q000600:supply & distribution; D001828:Body Image; D006040:Goals; D006801:Humans; D008017:Life Expectancy; D009730:Nursing Assessment; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D010166:Palliative Care / Q000379:methods* / Q000523:psychology; D010347:Patient Care Planning; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D012307:Risk Factors; D012752:Shame; D017592:Skin Care / Q000379:methods* / Q000451:nursing / Q000523:psychology; D012944:Social Support; D014945:Wound Healing; D014947:Wounds and Injuries / Q000150:complications / Q000451:nursing* / Q000523:psychology