Palliative Wound Care: Less Is More.

@article{Beers2019PalliativeWC,
  title={Palliative Wound Care: Less Is More.},
  author={Emily H. Beers},
  journal={The Surgical clinics of North America},
  year={2019},
  volume={99 5},
  pages={
          899-919
        }
}
  • E. Beers
  • Published 5 August 2019
  • Medicine
  • The Surgical clinics of North America
How do wound care nurses structure the subjective frame on palliative wound care? A Q-methodology approach
TLDR
This study revealed 4 Q-factors of palliative wound care: “Focusing on care within the boundary of current patient demands,’ “Comparing continuously the priorities on wound healing and disease care,” “Preparing and preventing from worsening via tracking care in advance,�” and “Moving forward with a clear direction by confronting the declining condition.
TRANSLATING HAND HYGIENE PRACTICE INTO COMPLIANCE DURING ASEPTIC WOUND DRESSING
TLDR
Using the standardised forms as the assisting method significantly improved hand hygiene compliance during aseptic wound dressing regardless of working experience, and experience can be gained along the way.
At-home Topical Sevoflurane Added to the Conventional Analgesic Treatment for Painful leg Ulcers Greatly Improved the Analgesic Effectiveness and Reduced Opioid Consumption in a Single-Center Retrospective Comparative Study with one-Year Follow-up.
TLDR
The addition of topical sevoflurane to the analgesic standard of care in patients with painful nonrevascularizable leg ulcers was a well-tolerated therapy that significantly improved pain control and allowed for a significant reduction in opioid consumption.
RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS
TLDR
The risk factors identified were nutritional status, advanced age, incontinence and immobility, and the interdisciplinary preventive interventions identified were: decubitus change, nutritional assessment and monitoring, skin care and use of support surfaces.
Terapia tópica para el tratamiento del dolor en heridas neoplásicas malignas: protocolo de revisión de alcance
TLDR
To map and examine the existing evidence on topical therapies to manage pain in adult patients with MNW and to classify and discuss the available topical therapies, and to recommend future primary studies.
Comparative Analysis of the Effectiveness of Some Biological Injected Wound Healing Stimulators and Criteria for Its Evaluation
TLDR
The wound healing acceleration, as well as the new collagen and stratified epithelium formation and maturation, was associated with the presence of a sufficient pool of mature and active fibro Blasts in the wound, and not with the number of fibroblasts.
Acute Skin Wounds Treated with Mesenchymal Stem Cells and Biopolymer Compositions Alone and in Combination: Evaluation of Agent Efficacy and Analysis of Healing Mechanisms
TLDR
The proven efficacy of developed polymeric compounds demonstrates the feasibility of further studies in clinical practice, and the most effective remedy was combination PCCD + MSC.
Are Antimicrobial Peptide Dendrimers an Escape from ESKAPE?
TLDR
The focus should be put on the discovery of new drugs or the combination of existing drugs for a better synergy, taking into account all kinds of wounds and existing pathogens, and more specifically on the development of next-generation antimicrobial peptides, encompassing the delivery carrier toward improved pharmacokinetics and efficacy.
Synthesis, Physicochemical Characterization, and Antibacterial Performance of Silver—Lactoferrin Complexes
Antibiotic-resistant bacteria pose one of the major threats to human health worldwide. The issue is fundamental in the case of chronic wound treatment. One of the latest trends to overcome the
...
...

References

SHOWING 1-10 OF 166 REFERENCES
Management of bleeding associated with malignant wounds.
TLDR
The case of a 60-year-old man with a bleeding neck wound due to squamous cell carcinoma of the hypopharynx admitted to the inpatient palliative care unit is presented.
Comprehensive wound malodor management: Win the RACE
TLDR
Improving quality of life is the outcome of winning the RACE against malodor, which stands for Removal of necrotic tissue, Antibacterials, odor Concealers, and Education and support.
A Brief History of Wound Care
TLDR
Wound care evolved from magical incantations, potions, and ointments, to a systematic text of wound care and surgery from Hippocrates and Celsus, which was lost after the fall of the Roman Empire.
An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses
TLDR
This study confirmed previous findings that malodour was one of the worst aspects of malignant wounds, and it was significant that the other three themes occurred in the previously largely overlooked psychosocial domain.
Pressure ulcers in cancer palliative care patients
TLDR
The results support the need to focus attention on pressure ulcers prevention and treatment in terminally ill cancer patients, and to further define specific guidelines aimed at warranting patients’ comfort and quality of life.
Management of non‐healable or maintenance wounds with topical povidone iodine
  • K. Woo
  • Medicine
    International wound journal
  • 2014
TLDR
Evidence is reviewed that supports the use of topical antiseptic agents in the management of non‐healable wounds that were deemed to have poor healing potential.
Wound cleaning and wound healing: a concise review.
TLDR
Clinical evidence suggests that polyhexanide/betaine may be nontoxic and effective in enhancing wound healing in patients with chronic wounds.
Experiences of living with a malignant fungating wound: a qualitative study.
TLDR
The results of this study provide a description of patient experiences that can help to guide nursing practice as well as an understanding of what a malignant fungating wound means to cancer patients and how it influences their lives.
[From the history of wound care].
Wound care in ancient times was based on many techniques: Bandages soaked with antibiotics, Sutures continuous or in separate stitches, apply of poultices around the wounds, honey and propolis as
Systemic antibiotics for treating malignant wounds.
TLDR
It is uncertain whether systemic metronidazole leads to a reduction in malodour in patients with malignant wounds, and more research is needed to substantiate these findings.
...
...