Walsh Anne
Anne Walsh, ANP-BC, CWOCN, ACHPN, is Visiting Nurse Service of New York Hospice & Palliative Care.
J Hosp Palliat Nurs. 2022 Feb 1;24(1):15-21. doi: 10.1097/NJH.0000000000000821.
Patients with advanced illness may present to palliative care or hospice with unmanaged symptoms that may be exacerbated by the presence of a wound. The wound can be a constant reminder to the patient and caregiver of the underlying illness. Distressing symptoms such as wound pain, odor, bleeding, and/or excessive exudate may impede the patients' ability to spend quality time with loved ones when they need them the most. Although patients may present with wounds of varying etiologies, the most common wounds seen in this patient population are pressure-related injuries. However, there is a shortage of both wound and palliative specialized clinicians. Telehealth and the use of other technology can be a way to address this shortage. This will grant access to a broader number of patients to ensure appropriate wound care plans are in place to meet the goals of care. Although wound healing may not always be possible in this patient population, having access to specialized wound and palliative experts can improve the quality of life for patients and their caregivers.
患有晚期疾病的患者可能因伤口的存在而出现未得到妥善处理的症状，这些症状可能会加重。伤口会不断提醒患者和护理人员潜在的疾病。诸如伤口疼痛、异味、出血和/或过多渗出液等令人痛苦的症状，可能会在患者最需要亲人陪伴时，妨碍他们与亲人共度美好时光。尽管患者可能出现各种病因导致的伤口，但在这一患者群体中最常见的伤口是压力性损伤。然而，伤口和姑息治疗方面的专科临床医生都很短缺。远程医疗和其他技术的使用可以解决这一短缺问题。这将使更多患者能够获得服务，以确保制定适当的伤口护理计划，以实现护理目标。尽管在这一患者群体中伤口不一定总能愈合，但能够获得伤口和姑息治疗方面的专科专家的帮助，可以提高患者及其护理人员的生活质量。
