Palliative management of pressure ulcers and malignant wounds in patients with advanced illness.
BACKGROUND
Pressure ulcers and malignant wounds are prevalent in populations with advanced illness. In these populations, the goals of care may shift from a primary focus on healing to a focus on wound management, palliation and comfort. Many complications associated with these wounds must be palliated.


OBJECTIVE
This review explores the palliative approach to managing pressure ulcers and malignant wounds in patients with advanced illness.


METHODS
A comprehensive search of MEDLINE, CINAHL, and Cochrane Databases for articles addressing wound management and palliation was performed. We also reviewed online wound care resources and textbooks related to the field.


CONCLUSIONS
The key to good wound care is prevention if possible, ongoing wound assessment, correct choice of dressing and use of available adjuvant therapies. The ultimate goals of palliative wound care are to control pain, to manage infection, odor, bleeding, and exudate, and to maintain a good quality of life for the patient and caregiver.
McDonald
Amy
A
AACT Hospice and Palliative Care Coordinator VISN 2, Department of Geriatrics and Extended Care, VA Western New York Healthcare System, Buffalo, NY 14215, USA. amy.mcdonald@va.gov
Lesage
Pauline
P
D006801:Humans; D009362:Neoplasm Metastasis; D010166:Palliative Care / Q000379:methods*; D003668:Pressure Ulcer / Q000517:prevention & control / Q000628:therapy*; D014481:United States; D014947:Wounds and Injuries / Q000150:complications / Q000175:diagnosis / Q000628:therapy*