Incorporating Wound Healing Strategies to Improve Palliation (Symptom Management) in Patients with Chronic Wounds

Abstract

A practical marriage of wound palliation (symptom management) with current wound healing concepts to provide options for the palliative care provider and improve the practice of palliative medicine.

Animal models in burn research

“…The priority of the inflammatory responses is to counteract microbial wound infections and this takes precedence over wound closure [29]. During this phase, pro-inflammatory factors like serotonin, bradykinin, prostagladins, prostacyclins, thromboxane and histamine are released into the local wound site [30,31]. The goal of this initial phase is to re-establish tissue integrity and homeostasis.…”

The Potentials of Honey in Managing Breast Cancer Wounds: a Literature Review

“…In addition, treating the malignancies (e.g., chemotherapy, radiotherapy, hormone therapy, laser therapy, cryotherapy, and/or surgery) was reported to have significant support besides wound care [19]. Besides treating the underlying pathology, addressing nutrition and other supportive aspects of care should never be overlooked [32]. Policy needs to address the resource allocations to ensure the provision of the supportive care during treatment for breast cancer, especially for a low-and middle-income country like Indonesia [33].…”

“…Policy needs to address the resource allocations to ensure the provision of the supportive care during treatment for breast cancer, especially for a low-and middle-income country like Indonesia [33]. Calvary Hospital, New York introduced an approach to palliative wound care in an inpatient, home, and outpatient setting: S -Stabilizing the wound; P -Preventing new wounds; E -Eliminate odor; C -Control pain; I -Infection prophylaxis; A -Advanced, absorbent wound dressing; L -Lessen dressing changes (SPECIAL) [32].…”

Wounds and Survival in Noncancer Patients

“…All wounds were managed by a specialist wound management team consisting of a specialist wound physician and advanced practice nurse in accordance with available best-practice protocols. [15][16][17][18] The Charlson comorbidity index was calculated retrospectively according to published guidelines. 19,20 This study involved analysis of a palliative medicine database developed by the principal author.…”