Palliative care aspects of wound healing in complex patients: a case report

被引:0
作者
Allen, Latricia L. [1 ,2 ,3 ]
Uphold, Constance R. [4 ]
Koniaris-Rambaud, Christine [3 ,5 ]
House, Kim [1 ,2 ,3 ]
Gray, Frances [1 ,2 ]
Fitzgerald, Linda [1 ,2 ]
Vaughan, Camille [1 ,2 ,3 ]
Johnson, Theodore M., II [1 ,2 ,3 ,5 ]
机构
[1] Birmingham Atlanta Geriatr Res Educ & Clin Ctr GR, Dept Vet Affairs, Decatur, GA 92161 USA
[2] Atlanta Dept Vet Affairs Med Ctr, Decatur, GA 20420 USA
[3] Emory Univ, Dept Med, Atlanta, GA 30322 USA
[4] North Florida South Georgia Vet Hlth Syst, VA Geriatr Res Educ & Clin Ctr, Gainesville, FL USA
[5] Emory Univ, Dept Family & Prevent Med, Atlanta, GA 30322 USA
关键词
comfort care; diabetes; dressing; frail older adult; infection; palliative care; ulcer; wound; wound healing; SPINAL-CORD-INJURY; PRESSURE ULCERS; TREATING WOUNDS; DIABETIC FOOT; MANAGEMENT; PREVENTION; DEPRESSION; DIAGNOSIS; END;
D O I
10.12968/jowc.2021.30.10.845
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Symptom or palliative management for wound care has commonly been reported in the literature as being focused on end-of-life care with less emphasis on being an effective supportive option for any patient with a wound in whom symptom management is indicated. This case report describes a frail older patient with a hard-to-heal pressure injury and multiple comorbidities to highlight palliative symptom management as a viable option to enhance patient comfort. Wound care providers may consider a palliative approach for hard-to-heal wound management that incorporates the whole patient, family and/or caregiver when faced with management of a frail older adult with a hard-to-heal wound to enhance the relief of suffering and improve quality of life. All procedures were performed in compliance with relevant laws and institutional guidelines and the appropriate institutional committee has approved them. Declaration of interest: The authors have no conflicts of interest to declare.
引用
收藏
页码:845 / 852
页数:7
相关论文
共 61 条
[1]   Caregiver Burden A Clinical Review [J].
Adelman, Ronald D. ;
Tmanova, Lyubov L. ;
Delgado, Diana ;
Dion, Sarah ;
Lachs, Mark S. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (10) :1052-1059
[2]  
Agency for Healthcare Research and Quality, PREVENTING PRESSURE
[3]  
[Anonymous], Prevention and Treatment of Pressure Ul- cers: Quick Reference Guide
[4]   The Palliative Performance Scale Predicts Three- and Six-Month Survival in Older Adult Patients Admitted to the Hospital through the Emergency Department [J].
Babcock, Matthew ;
Kuntz, Joanne Gould ;
Kowalsky, Dan ;
Calitri, Nicholas ;
Kenny, Anne M. .
JOURNAL OF PALLIATIVE MEDICINE, 2016, 19 (10) :1087-+
[5]   Using the Palliative Performance Scale to Estimate Survival for Patients at the End of Life: A Systematic Review of the Literature [J].
Baik, Dawon ;
Russell, David ;
Jordan, Lizeyka ;
Dooley, Frances ;
Bowles, Kathryn H. ;
Creber, Ruth M. Masterson .
JOURNAL OF PALLIATIVE MEDICINE, 2018, 21 (11) :1651-1661
[6]  
Bowers S, 2020, AM FAM PHYSICIAN, V101, P159
[7]   Review of the Current Management of Pressure Ulcers [J].
Boyko, Tatiana V. ;
Longaker, Michael T. ;
Yang, George P. .
ADVANCES IN WOUND CARE, 2018, 7 (02) :57-67
[8]   Dressings and topical agents for arterial leg ulcers [J].
Broderick, Cathryn ;
Pagnamenta, Fania ;
Forster, Rachel .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2020, (01)
[9]   Post stroke depression and risk of stroke recurrence and mortality: A systematic review and meta-analysis [J].
Cai, Wa ;
Mueller, Christoph ;
Li, Yi-Jing ;
Shen, Wei-Dong ;
Stewart, Robert .
AGEING RESEARCH REVIEWS, 2019, 50 :102-109
[10]  
Carezzato Natália Lindemann, 2014, Dement. neuropsychol., V8, P99, DOI 10.1590/S1980-57642014DN82000003