Managing malignant wounds in patients receiving palliative care

Nurs Stand. 2023 Feb 1;38(2):59-66. doi: 10.7748/ns.2022.e12001. Epub 2022 Dec 19.

Abstract

Malignant wounds are a complication of cancer and usually develop in patients with advanced disease. Physical symptoms associated with these wounds include pain, bleeding, exudate, malodour and pruritus, while patients may also experience various distressing psychosocial effects. The aim for nurses is to manage these physical symptoms and psychosocial effects, thus enhancing quality of life for patients and their families. This article discusses the symptoms and effects associated with malignant wounds, and explains what is involved in a wound assessment. It also outlines strategies that can be used to manage or eliminate wound-related symptoms and enhance patients' quality of life.

Keywords: cancer; chronic wounds; clinical; complex wounds; exudate; non-healing wounds; skin; tumours; wound assessment; wound care; wound management.

MeSH terms

  • Hospice and Palliative Care Nursing*
  • Humans
  • Neoplasms* / complications
  • Neoplasms* / therapy
  • Pain
  • Palliative Care
  • Quality of Life
  • Wounds and Injuries* / therapy