Palliative wound care management strategies for palliative patients and their circles of care.

Adv Skin Wound Care

Kevin Y. Woo, PhD, RN, ACNP, GNC(C), FAPWCA • Assistant Professor • School of Nursing, Faculty of Health Sciences, Queen's University • Kingston, Ontario, Canada • Adjunct Research Professor • MClSc Program, School of Physical Therapy, and Faculty of Health Sciences, Western University • London, Ontario • Wound Care Consultant • West Park Healthcare Centre • Toronto, Ontario • Clinical Web Editor • Advances in Skin & Wound Care Diane L. Krasner, PhD, RN, CWCN, CWS, MAPWCA, FAAN • Wound and Skin Care Consultant • Harrisburg Area Community College-York Campus • York, Pennsylvania Bruce Kennedy, BSc (Pharm), MBA • Clinical Pharmacy Specialist • Palliative Care, Community, and End-of-Life Program • Fraser Health/Surrey Memorial Hospital • Surrey, British Columbia, Canada David Wardle, BSc • Research Assistant • Queen's University • Kingston, Ontario Olivia Moir • Nursing Student • Queen's University • Kingston, Ontario.

Published: March 2015

Purpose: To provide information about palliative wound care management strategies for palliative patients and their circles of care.

Target Audience: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.

Objectives: After participating in this educational activity, the participant should be better able to: 1. Recognize study findings, assessment tools, and non-pharmacologic strategies used for patients with palliative wounds. 2. Summarize pharmacologic and dressing treatment strategies used for wound care management of palliative patients.

Abstract: 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.

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Source
http://dx.doi.org/10.1097/01.ASW.0000461116.13218.43DOI Listing

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