title: Palliative wound care management strategies for palliative patients and their circles of care.
abstract: OBJECTIVE
  To provide information about palliative wound care management strategies for palliative patients and their circles of care.
  
  
  BACKGROUND
  This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.
  
  
  OBJECTIVE
  After participating in this educational activity, the participant should be better able to: 1. Recognize study findings, assessment tools, and non-pharmacologic strategies used for patients with palliative wounds. 2. Summarize pharmacologic and dressing treatment strategies used for wound care management of palliative patients.
  The principles of palliative wound care should be integrated along the continuum of wound care to address the whole person care needs of palliative patients and their circles of care, which includes members of the patient unit including family, significant others, caregivers, and other healthcare professionals that may be external to the current interprofessional team. Palliative patients often present with chronic debilitating diseases, advanced diseases associated with major organ failure (renal, hepatic, pulmonary, or cardiac), profound dementia, complex psychosocial issues, diminished self-care abilities, and challenging wound-related symptoms. This article introduces key concepts and strategies for palliative wound care that are essential for interprofessional team members to incorporate in clinical practice when caring for palliative patients with wounds and their circles of care.
authors: Kevin Y. Woo, PhD, RN, ACNP, GNC(C), FAPWCA • Assistant Professor • School of Nursing, Faculty of Health Sciences, Queen's University • Kingston, Ontario, Canada • Adjunct Research Professor • MClSc Program, School of Physical Therapy, and Faculty of Health Sciences, Western University • London, Ontario • Wound Care Consultant • West Park Healthcare Centre • Toronto, Ontario • Clinical Web Editor • Advances in Skin & Wound Care Diane L. Krasner, PhD, RN, CWCN, CWS, MAPWCA, FAAN • Wound and Skin Care Consultant • Harrisburg Area Community College-York Campus • York, Pennsylvania Bruce Kennedy, BSc (Pharm), MBA • Clinical Pharmacy Specialist • Palliative Care, Community, and End-of-Life Program • Fraser Health/Surrey Memorial Hospital • Surrey, British Columbia, Canada David Wardle, BSc • Research Assistant • Queen's University • Kingston, Ontario Olivia Moir • Nursing Student • Queen's University • Kingston, Ontario.
authors: Kevin Y
authors: KY
authors: Woo
authors: Diane L
authors: DL
authors: Krasner
authors: Bruce
authors: B
authors: Kennedy
authors: David
authors: D
authors: Wardle
authors: Olivia
authors: O
authors: Moir
mesh_terms: D002170:Canada; D003266:Continuity of Patient Care; D019468:Disease Management; D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D010166:Palliative Care / Q000379:methods*; D018802:Patient-Centered Care; D017592:Skin Care / Q000379:methods; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000628:therapy; D014945:Wound Healing / Q000502:physiology*; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy*