McDonald Amy, Lesage Pauline
AACT Hospice and Palliative Care Coordinator VISN 2, Department of Geriatrics and Extended Care, VA Western New York Healthcare System, Buffalo, NY 14215, USA.
J Palliat Med. 2006 Apr;9(2):285-95. doi: 10.1089/jpm.2006.9.285.
Pressure ulcers and malignant wounds are prevalent in populations with advanced illness. In these populations, the goals of care may shift from a primary focus on healing to a focus on wound management, palliation and comfort. Many complications associated with these wounds must be palliated.
This review explores the palliative approach to managing pressure ulcers and malignant wounds in patients with advanced illness.
A comprehensive search of MEDLINE, CINAHL, and Cochrane Databases for articles addressing wound management and palliation was performed. We also reviewed online wound care resources and textbooks related to the field.
The key to good wound care is prevention if possible, ongoing wound assessment, correct choice of dressing and use of available adjuvant therapies. The ultimate goals of palliative wound care are to control pain, to manage infection, odor, bleeding, and exudate, and to maintain a good quality of life for the patient and caregiver.
压疮和恶性伤口在晚期疾病患者中很常见。在这些人群中，护理目标可能从主要关注伤口愈合转向关注伤口管理、姑息治疗和舒适度。与这些伤口相关的许多并发症都必须得到缓解。
本综述探讨了晚期疾病患者压疮和恶性伤口管理的姑息治疗方法。
对MEDLINE、CINAHL和Cochrane数据库进行全面检索，以查找有关伤口管理和姑息治疗的文章。我们还查阅了在线伤口护理资源和该领域的教科书。
良好伤口护理的关键是尽可能预防、持续进行伤口评估、正确选择敷料以及使用可用的辅助治疗。姑息性伤口护理的最终目标是控制疼痛、管理感染、异味、出血和渗出物，并为患者和护理人员维持良好的生活质量。
