Fungating wounds: informing practice through knowledge/theory

Laverty, Diane

doi:10.12968/bjon.2003.12.sup3.11434

Cited by 12 publications

(7 citation statements)

References 22 publications

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“…Comprehensive assessment is particularly important in the context of complex disorders, such as malignant wounds, which are unique in every presentation, always difficult to treat, often incorporate a variety of problems and are capable of impacting dramatically on the quality of life of the patient and those caring for them. 32,40,41,46 The assessment should be ongoing and incorporate all domains of the patient's illness experience (not just the wound), how they are coping with it and the ongoing impact on their own life and that of their family. It should include their nutritional status, ability to self-care, psychosocial issues (depression, body image, sexuality), past health history, current morbidities, allergies, social support, strengths and coping abilities, spiritual and cultural needs.…”

Section: Assessmentmentioning

confidence: 99%

“…47 The importance of comprehensive, individual assessments was highlighted by Laverty, who report-ed on long-held assumptions that had subsequently been proven false. 46 She discussed the tendency of some practitioners to assume they knew what patients were experiencing because they thought that every patient dealt with symptoms in the same way. As the author pointed out, we may know what is happening to a patient but we will not know how they perceive these experiences unless we take time to understand the meaning for each individual patient.…”

Section: Assessmentmentioning

confidence: 99%

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Malignant fungating wounds: epidemiology, aetiology, presentation and assessment

Alexander

2009

J Wound Care

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Section: Assessmentmentioning

confidence: 99%

Section: Assessmentmentioning

confidence: 99%

Malignant fungating wounds: epidemiology, aetiology, presentation and assessment

Alexander

2009

J Wound Care

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“…Luka fungatings sulit disembuhkan karena sifatnya kanker (Naylor, 2002;Laverty, 2003). Terapi adjuvan, seperti terapi hormon, kemoterapi dan radioterapi dapat digunakan untuk memperlambat pertumbuhan kanker (Hallett, 1995), tetapi cenderung untuk memperpanjang dari waktu ke waktu dan ditandai oleh gejala malodour dan eksudat berat.…”

Section: Pendahuluanunclassified

Tingkat Odor Pasien Kanker Serviks Menurut Petugas Kesehatan Di RSHS Bandung

Mardiah

Iskawati

Sutini

2017

JPKI

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ABSTRAKKarakteristik luka kanker serviks adalah nyeri, odor, pendarahan, eksudat yang banyak, gatal, dan infeksi pada luka. Bau atau odor terjadi ketika luka sudah mengalami nekrotik akibat hilangnya vaskularisasi atau terjadi infeksi oleh mikroorganisme. Odor merupakan hal yang mengganggu petugas kesehatan saat merawat luka kanker serviks. Odor yang ditimbulkan bisa sampai tidak sadarkan diri pada petugas kesehatan, sehingga perlu dilakukan penelitian ini. Tujuan dari penelitian ini adalah mengetahui gambaran tingkat odor menurut petugas kesehatan saat merawat luka kanker serviks. Penelitian ini menggunakan metode penelitian deskriptif kuantitatif. Pengambilan sampel penelitian dilakukan secara sampling jenuh dengan sampel sebanyak 41 responden. Instrumen yang digunakan dalam penelitian ini berupa odor scale dari Sucker dengan rentang 0-6 yang akan dipersepsikan oleh petugas kesehatan yakni perawat dan bidan. Analisis dalam penelitian ini menggunakan distribusi frekuensi. Hasil penelitian menunjukan sebagian besar responden memilih skala odor 4 bau kuat (51,22 %), hampir setengah respoden memilih skala odor 5 bau sangat kuat (29,27 %), sebagian kecil memilih skala odor 3 bau sedang (17,07 %), dan sebagian kecil memilih skala odor 2 bau lemah (2,44 %), dan tidak ada satupun responden yang memilih skala odor sangat lemah dan sangat-sangat kuat. Tingkat odor menurut petugas kesehatan sebagian besar pada skala 4 yaitu bau kuat. Berdasarkan hasil penelitian berbagai variasi tingkat odor pada pasien kanker serviks karena adanya nekrosik pada area genitalia ekternal maupun interna yang berbeda beda. Petugas kesehatan dapat melakukan manajemen odor dengan membersihkan area yang terkena nekrosis pada luka kanker dan pengelolaan lingkungan di sekitar pasien. Kata kunci : Bau, Luka kanker serviks, & Odor ABSTRACT The characteristics of the cervical cancer injuries are pain, odor, bleeding, many exudates, itching, and infection in the wound. Smell or odor occurs when the wound had been necrotic due to loss of vascularization or infection by microorganisms. The presence of malodor can disturb health

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“…The current dearth of information has been recognised by a number of authors who have highlighted the need for further research into the lived experience of malignant wounds so that it might be better understood (9–11). Schulz et al suggested that a greater understanding of the intensity and impact of malignant wounds upon the lives of patients would be an extremely valuable addition to existing literature (12).…”

Section: Background and Literature Reviewmentioning

confidence: 99%

An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses

Alexander

2010

International Wound Journal

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Malignant wounds occur infrequently, but are typically described as devastating and overwhelming. However, there has been little formalised research, and the vast majority of existing malignant wound literature comprises reports of health care professionals from their management of the physical symptoms. Few studies have investigated the lived experience from the perspectives of patients and nurses and none have investigated the experiences of lay caregivers caring for a patient with a malignant wound. As a result, there has been little mention in existing literature of the non physical issues associated with malignant wounds or how they might be addressed. The purpose of this study was to address this gap in knowledge by investigating the lived experience of malignant wounds from the perspectives of those living it. In-depth interviews were conducted with patients, caregivers and nurses. The data were analysed thematically within a hermeneutic phenomenological methodology to show four themes: (i) malodour; (ii) new mode of being-in-the-world; (iii) still room for hope and (iv) enduring memories. Although this study confirmed previous findings that malodour was one of the worst aspects of malignant wounds, it was significant that the other three themes occurred in the previously largely overlooked psychosocial domain.

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Fungating wounds: informing practice through knowledge/theory

Cited by 12 publications

References 22 publications

Malignant fungating wounds: epidemiology, aetiology, presentation and assessment

Malignant fungating wounds: epidemiology, aetiology, presentation and assessment

Tingkat Odor Pasien Kanker Serviks Menurut Petugas Kesehatan Di RSHS Bandung

An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses

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