Title: Malignant fungating wounds : the meaning of living in an unbounded body
Authors : Probst, Sebastian
Arber, A.
Faithfull, S.
Published in : European journal of oncology nursing
Volume(Issue) : 17
Issue : 1
Pages : 38
Pages to: 45
Publisher / Ed. Institution : Elsevier
Issue Date: Feb-2013
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (publication)
Language : English
Subjects : Unbounded body; Fungating; Wound; Malignant
Subject (DDC) : 610.73: Nursing
616: Internal medicine and diseases
Abstract: Background: Malignant fungating wounds may have significant physiological, psychological and emotional consequences on patients and their families. This study focuses on understanding the lived experiences of patients with a malignant fungating breast wound and their informal carers. Method: The methodological framework of interpretative phenomenological approach according to Heidegger was used. Nine patients were interviewed from January until November 2009. Results: The results demonstrate that most of the patients and their informal carers were on their own while struggling with the erosion of their physical boundaries. The women report a lack of information and advice about how to manage the wound as well as the physical and social limitations imposed onthem because of copious wound exudate, odour and bleeding. The women used many different methods and approaches to maintain the boundedness of the body. Conclusion: This study contributes to understanding that losing control over the body meant for the women losing control over themselves and their lives. The unboundedness was demonstrated through the symptom experiences. Therefore the care of women needs strategies that are integrated in a palliative, holistic, empathic approach. In particular skills for palliative wound care among medical and nursing staff need to be developed as the women and their carers report a lack of information and advice about how to manage the wound as well as the physical limitations and psychosocial consequences of struggling to maintain the boundedness of the body.
Departement: Health Professions
Organisational Unit: Institute of Nursing (IPF)
Publication type: Article in scientific journal
DOI : 10.1016/j.ejon.2012.02.001
ISSN: 1462-3889
URI: https://digitalcollection.zhaw.ch/handle/11475/12476
Appears in Collections:Publikationen Gesundheit

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