Palliative Wound Care Management Strategies for Palliative Patients and Their Circles of Care

被引:30
作者
Woo, Kevin Y. [1 ,2 ,3 ,4 ]
Krasner, Diane L. [5 ]
Kennedy, Bruce [6 ,7 ]
Wardle, David [8 ]
Moir, Olivia [8 ]
机构
[1] Queens Univ, Fac Hlth Sci, Sch Nursing, Kingston, ON, Canada
[2] Univ Western Ontario, Sch Phys Therapy, MClSc Program, London, ON, Canada
[3] Univ Western Ontario, Fac Hlth Sci, London, ON, Canada
[4] West Pk Healthcare Ctr, Toronto, ON, Canada
[5] Harrisburg Area Community Coll, York, PA USA
[6] Fraser Hlth Surrey Mem Hosp, Surrey, BC, Canada
[7] Fraser Hlth Surrey Mem Hosp, End Of Life Program, Surrey, BC, Canada
[8] Queens Univ, Kingston, ON, Canada
关键词
palliative wound care; pain and symptom management; skin changes at life's end; circle of care; MALIGNANT FUNGATING WOUNDS; PAINFUL SKIN ULCERS; QUALITY-OF-LIFE; TOPICAL OPIOIDS; PRESSURE ULCERS; BREAST-CANCER; MORPHINE; DERMATITIS; DRESSINGS; ITCH;
D O I
10.1097/01.ASW.0000461116.13218.43
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
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.
引用
收藏
页码:130 / 140
页数:11
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