title: Malignant fungating wounds: an analysis of the lived experience.
abstract: OBJECTIVE
  This paper reports upon a study that aimed to illuminate the meaning and experience of living with a malignant fungating wound.
  
  
  BACKGROUND
  The current understanding of living with a malignant fungating wound is derived from professionals' rather than the patient's perspective. An appreciation of the lived experience may assist in the development of more empathetic support approaches.
  
  
  METHODS
  A Heideggerian hermeneutic phenomenological approach was used as the philosophical framework. Unstructured interviews were conducted with a purposive sample of five participants. Content hermeneutic analysis was adopted to analyse the data.
  
  
  RESULTS
  Four themes were identified: representing the worst part of the patient's cancer; living within a body that cannot be trusted; a changing relationship with the patient's family and friends; and a loss of identity while continuously striving to be normal, yet feeling different.
  
  
  CONCLUSIONS
  Health care professionals must possess a heightened awareness of: the importance of the impact of the wound upon day-to-day living, identity and purpose; the value of adopting the phrase used by the patient to describe their wound; and to focus more upon the subjective meaning of a visibly changing wound rather than objective measurement.
authors.affiliation: Prospect Hospice, Swindon, UK. cpiggin@prospect-hospice.net
authors.forename: Catherine
authors.initials: C
authors.lastname: Piggin
authors.forename: Vanessa
authors.initials: V
authors.lastname: Jones
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D009369:Neoplasms / Q000150:complications* / Q000451:nursing / Q000523:psychology; D009812:Odorants; D011788:Quality of Life; D012649:Self Concept; D012883:Skin Ulcer / Q000209:etiology / Q000451:nursing / Q000523:psychology*; D012933:Social Identification