Palliative management of pressure ulcers and malignant wounds in patients with advanced illness

Journal of Palliative Medicine
Amy McDonald, Pauline Lesage

Abstract

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

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Citations

Nov 8, 2007·Journal of Palliative Medicine·Oscar M AlvarezChristopher P Comfort
Nov 8, 2007·Journal of Palliative Medicine·Solomon Liao, Robert M Arnold
Aug 22, 2008·Journal of Palliative Medicine·Nina K HansraEva H Chittenden
Oct 16, 2009·Journal of Palliative Medicine·Masaki KakimotoKoji Yoshino
Apr 14, 2010·Journal of Palliative Medicine·Vincent MaidaJason Corban
May 25, 2010·Journal of Palliative Medicine·Karen Cooper, Susan Stollings
Apr 12, 2012·Journal of Palliative Medicine·Katherine ReckaCaroline A Vitale
Apr 2, 2014·Home Healthcare Nurse·Kevin R EmmonsCathy Crouch
Nov 26, 2013·Journal of Pain and Symptom Management·Vincent MaidaChristopher Kesthely
Jun 2, 2009·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Vincent MaidaJason Corban
Jul 16, 2008·Journal of Pain and Symptom Management·Vincent MaidaLinda Trozzolo
May 23, 2008·International Wound Journal·Vincent MaidaLinda Trozzolo
Feb 3, 2012·International Wound Journal·Vincent MaidaJason Corban
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Dec 21, 2012·Current Opinion in Supportive and Palliative Care·Vincent Maida
Oct 31, 2020·Journal of Palliative Medicine·Gavisha WaidyaratneAdam Marks

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