title: Wound management in patients with advanced illness.
abstract: OBJECTIVE
  To emphasize that the management of wounds represents a significant component within the overall supportive and palliative care of patients with advanced illness. It is also intended to clarify the linguistics that are commonly used around patients with wounds.
  
  
  RESULTS
  New paradigms for wound management, wound outcomes, and goal setting have been defined and graphically depicted. Recent studies show that wounds may be used as prognostic factors for patients with advanced illness. Data from recent studies also demonstrate that marginal levels of wound healing are possible for all wound classes affecting patients with advanced illness. When indicated, time-limited trials of wound healing strategies should be facilitated by the Wound Bed Preparation Paradigm. Wound palliation may be guided through the use of the Toronto Symptom Assessment System for Wounds (TSAS-W).
  
  
  CONCLUSIONS
  Wound management must continue to evolve as a tenet within the overall supportive and palliative care of patients with advanced illness.
authors.affiliation: University of Toronto, William Osler Health System, Toronto, Ontario, Canada. vincent.maida@utoronto.ca
authors.forename: Vincent
authors.initials: V
authors.lastname: Maida
mesh_terms: D006801:Humans; D010166:Palliative Care / Q000379:methods*; D019452:Terminally Ill; D014945:Wound Healing; D014947:Wounds and Injuries / Q000150:complications / Q000209:etiology / Q000628:therapy*