title: Principles of wound care in hospice and palliative medicine.
abstract: The author presents a case report of an elderly patient who was extremely frail and debilitated. The patient was a resident of a skilled care facility because of advanced chronic illnesses that included end-stage Alzheimer, dementia, and Parkinson disease. This patient had acquired multiple stages III to IV pressure ulcers. Aggressive wound care treatment was initiated with partial success, but the patient passed away before the wound could completely heal. Medical literature was reviewed to offer the best possible wound care approach in providing care to patients who are terminally ill without compromising the patient's dignity and comfort and at the same time delivering cost-effective quality care.
authors.affiliation: University of Tennessee College of Medicine, Fellowship in Hospice/Palliative Medicine, Chattanooga, TN, USA. sznavaid@yahoo.com
authors.forename: Musharraf
authors.initials: M
authors.lastname: Navaid
authors.forename: Terry
authors.initials: T
authors.lastname: Melvin
authors.forename: Judy
authors.initials: J
authors.lastname: Berube
authors.forename: Sherri
authors.initials: S
authors.lastname: Dotson
mesh_terms: D000368:Aged; D016330:Frail Elderly; D017051:Hospice Care / Q000379:methods*; D006801:Humans; D008297:Male; D010166:Palliative Care / Q000379:methods*; D010348:Patient Care Team / Q000458:organization & administration; D003668:Pressure Ulcer / Q000451:nursing / Q000628:therapy*; D011788:Quality of Life; D017592:Skin Care / Q000379:methods; D014945:Wound Healing