Title: Malignant fungating wounds : a survey of nurses clinical practice in Switzerland
Authors : Probst, Sebastian
Arber, A.
Faithfull, S.
Published in : European Journal of Oncology Nursing
Volume(Issue) : 13
Issue : 4
Pages : 295
Pages to: 298
Publisher / Ed. Institution : Elsevier
Issue Date: Sep-2009
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (publication)
Language : English
Subjects : Bandages; Transudates; Neoplasms; Exudates
Subject (DDC) : 610.73: Nursing
616: Internal medicine and diseases
Abstract: Background: The care of individuals with a fungating malignant wound represents challenging cancer management not only for patients and their families but also for health care professionals. Understanding the difficulties faced by nurses when they care for patients with such a wound can help guide practice and service development. The aim of this study was to investigate how many patients with a malignant fungating wounds did nurses see and what kind of difficulties in caring for patients with a malignant fungating wound did nurses experience. Method: A survey was conducted in three different geographical regions of Switzerland over a 6month period. Results: A total of 269 nurses participated in this survey. The nurses reported the prevalence rate of fungating wounds as 6.6%. There was a difference in perceived prevalence between the regions. The most frequent location for such wounds was the breast in women with breast cancer. The appearance was mainly ulcerating. The main difficulties nurses experienced in the management of patients related to malodour, pain and difficulties in applying the dressings to the wound. The most frequently used dressing was an absorbent dressing. The difficulties nurses had and what kind of dressings they used were closely connected. Conclusions and Implications for Practice: Strategies need to be explored to help understand the diverse range of wound problems including physical and psychological components. Furthermore, there is a need to raise the awareness of existing wound management specialists in the support of cancer patients.
Departement: Health Professions
Organisational Unit: Institute of Nursing (IPF)
Publication type: Article in scientific journal
DOI : 10.1016/j.ejon.2009.03.008
ISSN: 1462-3889
URI: https://digitalcollection.zhaw.ch/handle/11475/12436
Appears in Collections:Publikationen Gesundheit

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