Loyola University Chicago, Chicago, Illinois, USA.
J Wound Ostomy Continence Nurs. 2010 May-Jun;37(3):277-82. doi: 10.1097/WON.0b013e3181d8c9f7.
Patients may experience wounds at or near the end of life that are difficult to treat and may not be amenable to healing. In these cases, hospice and palliative care may be considered. Palliative care approaches include stabilization of existing wounds, prevention of new wounds, and symptom management with a focus on quality of life. Treatment goals for nonhealing wounds at the end of life include managing exudate, controlling odor, maximizing mobility and function, preventing infection, and controlling pain and other symptoms. Complementary components of palliative care are also instituted including communication and psychosocial support for patients and families.
患者在临终时可能会经历难以治疗且可能无法愈合的伤口。在这些情况下，可以考虑提供临终关怀和姑息治疗。姑息治疗方法包括稳定现有伤口、预防新伤口的形成，以及通过关注生活质量来管理症状。临终非愈合性伤口的治疗目标包括管理渗出物、控制气味、最大限度地提高活动能力和功能、预防感染以及控制疼痛和其他症状。姑息治疗还包括实施补充性措施，包括为患者和家属提供沟通和心理社会支持。
