Management of a heel wound as part of the holistic care of patients at the end of their lives – a literature review and own professional experience

Szymańska, Paulina; Wójcik, Anna Maria; Bazaliński, Dariusz; Leppert, Wojciech

doi:10.5114/mp.2021.108688

Cited by 3 publications

(2 citation statements)

References 46 publications

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“…Despite expert observations and epidemiological data, many patients are still diagnosed in an advanced phase of the disease and will require professional care and palliative treatment. Global data indicate that approximately 30 million patients (3% of the world's population) need holistic palliative care [17][18][19]. Bone metastases are a clinical symptom of cancer advancement and dramatically reduce the patient's quality of life [7,20].…”

Section: Discussionmentioning

confidence: 99%

Selected correlates of the physical health of patients undergoing spinal decompression procedures due to tumour infiltration

Barańska,

Bazaliński,

Pytlak

et al. 2023

pcia

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Introduction: An assessment of selected correlates of the functional status of patients undergoing surgery for spinal metastases from malignant tumours.Material and methods: The study group (115 patients) accounted for 38.33% of all patients with cancer metastases to the axial skeleton treated at a purposively selected specialist institution within the Podkarpackie region. The study lasted 22 months. The first stage of the study was conducted between the first and second day after hospital admission, before surgery, and the second stage 3-4 months after surgery. A diagnostic survey and estimation method was used. Research tools such as the American Spinal Injury Association (ASIA) Impairment Scale, the Katz scale (activities of daily living -ADL), the visual analogue scale, and the Rotterdam symptom checklist were used. Statistical analysis was performed using the STATISTICA 13 package. A significance level of α = 0.05 (p < 0.05) was adopted.Results: Neurological dysfunctions before the procedure predisposed to pain (p = 0.0436). The level of pain before the procedure was higher in patients with incomplete damage: (ASIA C) and (ASIA D). In terms of physical and mental symptoms and activity level, higher values of measured variables were demonstrated after surgery (p < 0.0001). Pain intensity (p > 0.05) was not shown to differentiate the performance of basic ADL.Conclusions: Pain is the best-studied symptom experienced by people with musculoskeletal dysfunction in the course of cancer. Reducing pain predisposes to improved functionality, thus improving patients' physical activity, positively determining the subjective assessment of the quality of life.

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Section: Discussionmentioning

confidence: 99%

Selected correlates of the physical health of patients undergoing spinal decompression procedures due to tumour infiltration

Barańska,

Bazaliński,

Pytlak

et al. 2023

pcia

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“…Pomimo spostrzeżeń eksperckich i danych epidemiologicznych nadal wielu chorych jest diagnozowanych w zaawansowanej fazie choroby i będzie wymagało profesjonalnej opieki oraz leczenia paliatywnego. Dane globalne wskazują, że około 30 mln chorych (3% światowej populacji) potrzebuje holistycznej opieki paliatywnej [8,9]. Chorzy doświadczają silnego bólu (często opornego na postępowanie farmakologiczne), złamań patologicznych, zaburzeń seksualnych.…”

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Bone metastases – aetiopathogenesis and treatment possibilities. Review of literature

Bazaliński,

Florek,

Szelast

et al. 2023

pcia

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Przerzuty do kości generują dodatkowe obciążenia w systemie ochrony zdrowia z racji zalecanej terapii w zaawansowanej fazie choroby. Ból, patologiczne złamania, niestabilność szkieletu osiowego i neurologiczne dysfunkcje to najczęstsze konsekwencje zewnątrzoponowych przerzutów do kręgosłupa i jego kompresji. Analizując piśmiennictwo, dokonano przeglądu dostępnej w bazie PubMed literatury z lat 2015-2023. W wyszukiwaniu duplikatów zastosowano słowa kluczowe: "spinal metastases". Zidentyfikowano 3069 prac, z których usunięto 2567 niezwiązanych bezpośrednio z zaplanowaną analizą. Do analizy wybrano 36 prac (w tym przeglądy i metaanalizy) podejmujących problematykę analizowanych zagadnień. Przerzuty nowotworów złośliwych dotyczą najczęściej szkieletu osiowego, powodując kompresję rdzenia i objawy neurologiczne z tym związane. Odbarczenie chirurgiczne zwiększa funkcjonalność i poprawia jakość życia chorych.Słowa kluczowe: leczenie, problemy zdrowotne, przerzuty do kręgosłupa. WstępWzrost zachorowań na nowotwory złośliwe jest bardzo zauważalny. Możliwości diagnozowania i leczenia w ostatnim czasie były ograniczone, co stanowi narastający problem zdrowotny, społeczny i ekonomiczny.Według szacunków GLOBOCAN tylko w 2020 r. na całym świecie zdiagnozowano około 19,3 mln nowych przypadków raka, a prawie 10 mln osób zmarło z powodu nowotworu [1]. W 2020 r. na diagnostykę i leczenie raka negatywnie wpłynęła pandemia COVID-19. Ograniczone

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Quality of life and its selected determinants in the group of patients with surgically treated spinal tumors

Barańska,

Bazaliński,

Guzik

et al. 2023

Front. Oncol.

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IntroductionSpinal metastases are a common manifestation of advanced neoplastic disease. Destructive neoplastic lesions within the axial skeleton cause unrelieved pain and nervous system disorders involving spinal stenosis and other neural structures. The development of new systemic therapies, radiotherapy and minimally invasive spinal surgeries has increased patients’ quality of life by minimising pain and neurological disorders due to vertebral neoplastic infiltration. The aim of the study was to assess the patients’ quality of life before and after spine stabilisation surgery with spinal cord decompression to relieve the pressure associated with neoplastic destruction.Materials and MethodsThe study involved 115 subjects with spinal metastases in the preoperative period and 3–4 months after the surgery based on the inclusion criteria (metastatic spinal tumour, sensorimotor dysfunction). The data were collected using the following tools: the Rotterdam Symptom Checklist (RSCL-Rotterdam Symptom Checklist), Acceptance Illness Scale (AIS scale), Activities of Daily Living Scale (ADL scale) and Visual Analogue Scale (VAS). The correlation coefficient was calculated using Spearman’s rho assuming the significance level at α = 0.05 (p<0.05).ResultsA higher quality of life was found after surgery (p<0.001) in terms of experiencing physical symptoms (30.7 ± 11.96 points before surgery vs. 20.91 ± 13.00 points after surgery) and psychological symptoms (43.98 ± 14.82 points before surgery vs. 31.35 ± 14.86 points after surgery). The activity level of the subjects also improved (p<0.001; 36.56 ± 22.43 points to 43.55 ± 20.40 points). The level of disease acceptance in the study group was higher after the surgery compared to the preoperative assessment. The subjects with a high level of disease acceptance presented a higher quality of life postoperatively. The independence of the subjects in performing everyday activities after the operation influenced the quality of life, in terms of somatic symptoms (p=0.006), mental symptoms (p=0.001) and activity (p<0.001). Along with the improvement in functional capacity, the quality of life in terms of symptoms and activity levels increased.ConclusionThe study showed that spinal cord decompression surgery improves the quality of life of patients by reducing neurological dysfunction, increasing the acceptance of the disease and the ability to perform activities of daily living (ADL). Sociodemographic variables did not affect the quality of life of the respondents.

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Management of a heel wound as part of the holistic care of patients at the end of their lives – a literature review and own professional experience

Abstract: Zarządzanie raną w obrębie pięt jako element całościowej opieki nad chorym u kresu życia -przegląd literatury i doświadczenia własneManagement of a heel wound as part of the holistic care of patients at the end of their lives -a literature review and own professional experience

Cited by 3 publications

References 46 publications

Selected correlates of the physical health of patients undergoing spinal decompression procedures due to tumour infiltration

Selected correlates of the physical health of patients undergoing spinal decompression procedures due to tumour infiltration

Bone metastases – aetiopathogenesis and treatment possibilities. Review of literature

Quality of life and its selected determinants in the group of patients with surgically treated spinal tumors

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