Malignant Neoplastic Wounds: Clinical Management Performed by Nurses

Agra, Glenda; Santos, Josenilda Pereira dos; Sousa, Alana Tamar Oliveira de; Gouveia, Bernadete de Lourdes André; Brito, Débora Thaíse Freires de; Macêdo, Elton de Lima; Medeiros, Maria Vitória de Souza; Pimentel, Edlene Régis Silva; Oliveira, Patrícia Simplício de; Ferreira, Thalys Maynnard Costa; Oliveira, Daniele Martins do Nascimento; Oliveira, Simone Helena dos Santos; Soares, Maria Júlia Guimarães Oliveira; Costa, Marta Miriam Lopes

doi:10.3823/2215

Cited by 3 publications

(6 citation statements)

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“…Woo, Beeckman, & Chakravarthy, 2017). Selain itu, hasil peneltian yang dilakukan oleh Agra dkk, menemukan bahwa perawat di Brazil menggunakan chlorhexidine dan polyvinylpyrrolidone iodine (PVPI) (Agra et al, 2016). Penggunan kedua jenis obat tersebut berdasarkan pertimbangan bahwa chlorhexidine lebih direkomendasikan untuk luka kronis karena memiliki toleransi yang lebih baik, sedangkan penggunaan PVPI lebih sering untuk tujuan desinfeksi atau sebelum tindakan invasif dilakukan (Agra et al, 2016).…”

Section: )unclassified

“…Berdasarkan penelitian yang di lakukan di Brazil, ditemukan bahwa dominan nyeri yang dirasakan oleh pasien kanker payudara dengan fungating wound merupakan nyeri neuropati (Agra et al, 2016) Dimana kondisi nyeri tersebut terjadi sebagai akibat adanya tekanan pada ujung saraf sensori ataupun invasi dari dari jaringan kanker yang terus bertumbuh. Selain itu nyeri sering diakibatkan oleh proses pembersihan jaringan luka kanker dan penggantian balutan yang lebih sering.…”

Section: Nyeriunclassified

“…Obat analgesik yang digunakan adalah Dypirone dan Tramal. Sekalipun secara saintifik efektifitas penggunaan terapi komplementer masih kurang bukti namun terapi tersebut dapat digunakan dalam pengelolaan nyeri seperti terapi relaksasi, terapi pijat, psikoterapi imaginery dan distraksi, akupunktur, akupresur, biofeedback, hypnotherapy, dan aromatherapy (Agra et al, 2016). e. Eksudasi…”

Section: Nyeriunclassified

“…Perdarahan pada luka kanker dapat terjadi selama dan setelah perawatan luka, dan dapat juga terjadi secara spontan (Merz et al, 2011). Perdarahan pada luka kanker sering berkaitan dengan proses angiogenesis, dimana akibat dari stimulasi faktor pertumbuhan pada endotelium pembuluh darah (Agra et al, 2016). Selain itu, beberapa faktor yang diidentifikasi memiliki andil terhadap peningkatan resiko kejadian perdarahan seperti proses patologi penyakit, trombositopenia, disseminated intravascular coagulapathy, dan malnutrisi (Recka, Montagnini, & Vitale, 2012).…”

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Pengkajian dan Symptom Mangement Pada Pasien Dengan Fungating Breast Cancer di Pelayanan Perawatan Paliatif: Literature Review

Yodang

Nuridah

2021

JHNS

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Currently, cancer includes breast cancer is a predominant disease treated in palliative care services. Breast cancer incidence increased significantly during the last decade and can progress to a late or advanced stage. At this advanced stage, the incidence of the fungating wound occurs in 5-10% of breast cancer patients. The study aims to identify assessment and symptoms management of fungating breast cancer in the palliative care setting. This study applied a literature review method. Searching for articles using 4 journal databases including DOAJ, Google Scholar, Proquest, and Science Direct. 17 articles that met the inclusion criteria of the study. The literature review identifies that the assessment tools are holistic assessment methods, wound assessment charts, and time framework assessments. The major symptoms are mal-odor, pain, exudation, peri-wound maceration and bleeding, psychological and spiritual issues. The studies, which focus on assessment and symptoms management of fungating breast cancer was limited. This affects the comprehensiveness of the review study. Investigation on quality of life among fungating breast cancer patients shortly is needed.

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Pengkajian dan Symptom Mangement Pada Pasien Dengan Fungating Breast Cancer di Pelayanan Perawatan Paliatif: Literature Review

Yodang

Nuridah

2021

JHNS

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“…These are liable to wound treatment, since cancer is in an early phase and has possibilities of cure; however, when the pathological process is in advanced phase and the antineoplastic treatment is no longer indicated, the conduct is only the palliative one, in order to control the physical and the psychosocial symptoms [6][7][8].…”

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Knowledge of nursing students about the care provided to people with neoplastic wounds

et al. 2017

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Objective: To investigate the knowledge of nursing students about the care provided to patients with neoplastic wound.Method: This is an exploratory research of a qualitative nature, which was attended by 15 students of the Bachelor's Degree in Nursing from the Center of Education and Health of the Federal University of Campina Grande, campus Cuité -PB, in the period from October to November 2015. For data collection, we used a form for an interview. The data were analyzed through the Technique of Thematic Analysis of Minayo.Results: From the analysis of the empirical material emerged the following thematic categories: Category 1. Defining neoplastic wounds; Category 2. Knowledge incipient on 'neoplastic wounds' for academic and professional practice; Category 3. Envisioning the theme "neoplastic wound" in the Academy; Category 4. Knowledge about methods of evaluation of neoplastic wounds and Category 5. Knowledge of therapeutic modalities of neoplastic wounds. Conclusions:The academics know the evaluative method of a patient with neoplastic wound as integralizadora unit of care process; recognize palliative care as the best therapeutic modality for these customers, especially when they are in completion and indicate the products contraindicated in the treatment of these lesions; however, do not mention the covers and recommended substances for the IntroductionCancer is a genetic disease from a result of a series of injuries in the DNA or anomalous expression of normal genes, which will modify the coordinating functions of the proliferation, differentiation and apoptosis cells, leading to the mutation and malignant cellular phenotype. With the replacement of normal cells by the cancerous ones, the invaded tissues become losing their functions and, finally, the appearance of an exophytic lesion occurs [1-2].The World Health Organization (WHO) has projected some perspectives about cancer, but called attention to a serious situation: we can expect about 27 million incident cases, 17 million deaths and 75 million people alive, annually, with cancer, being the developing countries the most affected ones, among them Brazil. According to estimates from 2016/2017, Brazil should register in the year 2017 about 596 thousand new cases of cancer. Among men, there are expected 295,200 cases, and among women, 300,800 cases [3].The proportional distribution of the five most estimated types of cancer in 2016/2017, according to the National Cancer Institute [3], has a primary location in the male gender: prostate (28.6%); trachea, bronchi and lungs (8.1%); colon and rectum (7.8%); stomach (6.0%) and oral cavity (5.2%); already in the female gender: breast (28.1%); colon and rectum (8.6%); cervix (7.9%); trachea, bronchi and lungs (5.3%) and stomach (3.7%), not taking into account non-melanoma skin cancer in both genders, considered the most prevalent in Brazil.Among patients with cancer disease, about 5% to 10% of them progress to wounds, be resulting from a primary tumor or from malignant cell proliferation. These lesi...

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Conhecimento e prática de enfermeiros no controle da dor de pacientes com feridas neoplásicas

Agra¹,

Medeiros²,

Brito³

et al. 2019

Enferm Bras

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As feridas neoplásicas representam uma angústia para pacientes que enfrentam um prognóstico de doença terminal, uma vez que são lesões que não apresentam possibilidades de cicatrização, desfiguram a aparência física e desenvolvem sintomas de difícil controle. O objetivo deste estudo foi verificar o conhecimento e prática de enfermeiros no controle da dor de pacientes com feridas neoplásicas. Trata-se de um estudo descritivo realizado com 22 enfermeiros de um hospital filantrópico de Campina Grande/PB durante o período de abril a junho de 2016. O instrumento foi um questionário estruturado, contendo questões acerca dos cuidados a pacientes com feridas neoplásicas. Os resultados obtidos nesta pesquisa permitiram, de forma geral, identificar que os enfermeiros apresentam lacunas no conhecimento de conteúdos e técnicas sobre avaliação e tratamento de pacientes com feridas neoplásicas. Além disso, constatou-se que os enfermeiros não executam alguns cuidados pertinentes a essa clientela. Desse modo, a instituição da pesquisa precisa investir em educação permanente, a fim de treinar a equipe de enfermagem para o acompanhamento de pacientes com lesões neoplásicas, adquirir materiais necessários e implantar protocolos assistenciais que norteiem a prática de métodos avaliativos e terapêuticos para o cuidado com pessoas com feridas neoplásicas, familiares e cuidadores.Palavras-chave: conhecimento, enfermeiros, cuidados de enfermagem, assistência ao paciente, neoplasias cutâneas.

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Malignant Neoplastic Wounds: Clinical Management Performed by Nurses

Cited by 3 publications

References 25 publications

Pengkajian dan Symptom Mangement Pada Pasien Dengan Fungating Breast Cancer di Pelayanan Perawatan Paliatif: Literature Review

Pengkajian dan Symptom Mangement Pada Pasien Dengan Fungating Breast Cancer di Pelayanan Perawatan Paliatif: Literature Review

Knowledge of nursing students about the care provided to people with neoplastic wounds

Conhecimento e prática de enfermeiros no controle da dor de pacientes com feridas neoplásicas

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