Nursing team knowledge on care for patients with fungating wounds

Schmidt, Fernanda Mateus Queiroz; Firmino, Flávia; Lenza, Nariman de Felício Bortucan; Santos, Vera Lúcia Conceição de Gouveia

doi:10.1590/0034-7167-2017-0738

Cited by 8 publications

(2 citation statements)

References 13 publications

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“…This scoping review aimed to map and examine the literature available on topical MFW-related pain management, considering its relevance for oncology and palliative care clinicians. The synthesis of this body of literature may provide insights into treatments which could enhance quality of life, especially for patients with terminal cancer (Schmidt et al, 2020). This study is the first scoping review developed in its field to contribute to researchers seeking to advance research trends and elucidate the gaps in this field.…”

Section: Discussionmentioning

confidence: 99%

Topical therapy for pain management in malignant fungating wounds: A scoping review

Ferreira¹,

González

Thum

et al. 2022

Journal of Clinical Nursing

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Aims and objectives: To map and synthesise the existing literature on topical therapies for malignant fungating wounds pain management and the gaps involved.Background: Most cancer patients with malignant fungating wounds suffer from wound-related pain, affecting their quality of life. Unfortunately, even though pain is a relevant symptom in cancer and palliative care, little is currently known about topical treatments' availability and impact on pain management. Design: A scoping review following JBI® methodologyMethods: Searches were performed in CINAHL, LILACS, Embase, Web of Science, PubMed, Cochrane, NICE, Scopus, JBISRIR and grey literature, in English, Portuguese and Spanish, with no time limit. Two authors independently reviewed all citations and a third was called in case of divergence, and studies in adults with malignant fungal wounds reporting topical pain interventions were included. In addition, a data extraction tool for synthesis and thematic analysis was developed. This study followed the PRISMA-ScR Checklist.Results: Seventy publications were selected from 796 records retrieved from databases. The studies mainly included non-systematic reviews and case studies with only six clinical trials. According to the narrative synthesis, twenty therapies were identified, including the use of wound dressings (58.6%), analgesic drugs (55.7%), topical antimicrobials (25.7%), skin barriers (15.7%), cryotherapy (5.7%) and negative pressure wound therapy (4.3%). Therapies were recommended to be applied to the wound bed or the periwound skin. In 68.5% of the studies, a standardised assessment for pain was not described.Conclusions: Topical therapies applied to malignant fungating wounds or periwound areas had been examined for pain management. However, their effectiveness was analysed in a few interventional studies, indicating the need for further primary studies to inform evidence-based practice.

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Section: Discussionmentioning

confidence: 99%

Topical therapy for pain management in malignant fungating wounds: A scoping review

Ferreira¹,

González

Thum

et al. 2022

Journal of Clinical Nursing

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“… 7 Heavy exudate and malodor are ranked by nurses as the two most challenging issues when caring the patients with MFWs, and also the most distressing symptoms for patients. 9 Exposure of the adjacent skin to heavy wound exudate may cause moisture-related damage. 10 Wound exudate may also contain components that stimulate inflammation and result in skin tissue destruction.…”

Section: Introductionmentioning

confidence: 99%