Pressure Injury Prevention and Wound Management for the Patient Who Is Actively Dying

Vickery, Jessica; Compton, Lauren; Allard, Jackie; Beeson, Terrie; Howard, Joycelyn; Pittman, Joyce

doi:10.1097/won.0000000000000702

Cited by 4 publications

(12 citation statements)

References 15 publications

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“…On the other hand, Q-factor IV emphasized wound care and the expert role of wound care nurses. This reflected that proven, professional opinions lead to effective treatment processes, rather than decision-making processes involving patients or their caretakers [ 24 , 25 ]. This view emphasizes the vital role of the problem solver, with wound care nurses providing professional leadership.…”

Section: Discussionmentioning

confidence: 99%

How do wound care nurses structure the subjective frame on palliative wound care? A Q-methodology approach

Lee

Chang

2022

BMC Nurs

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Background Palliative wound care is important for stability in terminal care. It addresses both the physical and psychological needs of patients and facilitates other aspects of terminal care. Appropriate competencies of nurses regarding palliative wound care can improve patient outcomes and raise their quality of life. The purpose of this study was to identify how wound care nurses structure the subjective frames regarding palliative wound care. Method This study utilized Q-methodology to analyze their subjective viewpoints. Forty nurses experienced in palliative wound care were asked to completely classify 35 Q-statements into a normal distribution shape. The PQ-Method program was used to conduct principal factor analysis and varimax rotation for data analysis. Results This study revealed 4 Q-factors of palliative wound care: “Focusing on care within the boundary of current patient demands,” “Comparing continuously the priorities on wound healing and disease care,” “Preparing and preventing from worsening via tracking care in advance,” and “Moving forward with a clear direction by confronting the declining condition.” Conclusion We hope that the results of this study are used in the development of nursing education that reflects professional perspectives of palliative wound care, thus helping to improve nursing competencies in palliative care.

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Section: Discussionmentioning

confidence: 99%

How do wound care nurses structure the subjective frame on palliative wound care? A Q-methodology approach

Lee

Chang

2022

BMC Nurs

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“…On the other hand, Q-factor emphasized wound care and the expert role of wound care nurses. This re ected that proven, professional opinions lead to effective treatment processes, rather than decision-making processes involving patients or their caretakers [24,25]. This view emphasizes the vital role of the problem solver, with wound care nurses providing professional leadership.…”

Section: Discussionmentioning

confidence: 99%

“…25. I believe that giving false hope to patients and caregivers is not helpful and let them know that what does not work, does not work.…”

mentioning

confidence: 99%

How Do Wound Care Nurses Structure the Subjective Frame on Palliative Wound Care? A Q-Methodology Approach

Lee

Chang²

2022

Preprint

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Background Palliative wound care is important for stability in terminal care. It addresses both the physical and psychological needs of patients and facilitates other aspects of terminal care. Appropriate competencies of nurses regarding palliative wound care can improve patient outcomes and raise their quality of life. The purpose of this study was to confirm the subjective frames of wound care nurses regarding palliative wound care and to identify their subjective frames. Method This study utilized Q-methodology to analyze their subjective viewpoints. Forty nurses experienced in palliative wound care were asked to completely classify 34 Q-statements into a normal distribution shape. The PQ-Method program was used to conduct principal factor analysis and varimax rotation for data analysis. Results This study revealed 4 Q-factors of palliative wound care: “Focusing on care within the boundary of current patient demands,” “Comparing continuously the priorities on wound healing and disease care,” “Preparing and preventing from worsening via tracking care in advance,” and “Moving forward with a clear direction by confronting the declining condition.” Conclusion We hope that the results of this study are used in the development of nursing education that reflects professional perspectives of palliative wound care, thus helping to improve nursing competencies in palliative care.

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“…Examples of this include, but are not limited to, a malignant wound where curative treatment is no longer appropriate or with a gangrenous limb where the patient is not a candidate for surgical intervention to restore the blood flow. 8 Caregivers may feel overwhelmed and have a sense of guilt if their loved one develops skin breakdown despite meticulous care and need the support of the whole team including the CWOC nurse/NP. The development of skin breakdown may reflect skin organ failure due to intrinsic versus extrinsic factors as the patient nears the end of life.…”

mentioning

confidence: 99%

“…Wound healing may not always be possible because of several factors including advanced disease, multiple comorbidities, poor nutrition, poor tissue perfusion, advanced age, and frailty. [7][8][9][10] Palliative wound care shifts the focus from healing to symptom management and uses an interdisciplinary team approach to address the whole person. This includes psychosocial and spiritual elements in addition to addressing the physical symptoms to improve the quality of life for patients and caregivers.…”

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confidence: 99%

Palliative Wound Care

Walsh¹

2021

J Hosp Palliat Nurs

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Patients with advanced illness may present to palliative care or hospice with unmanaged symptoms that may be exacerbated by the presence of a wound. The wound can be a constant reminder to the patient and caregiver of the underlying illness. Distressing symptoms such as wound pain, odor, bleeding, and/or excessive exudate may impede the patients' ability to spend quality time with loved ones when they need them the most. Although patients may present with wounds of varying etiologies, the most common wounds seen in this patient population are pressure-related injuries. However, there is a shortage of both wound and palliative specialized clinicians. Telehealth and the use of other technology can be a way to address this shortage. This will grant access to a broader number of patients to ensure appropriate wound care plans are in place to meet the goals of care. Although wound healing may not always be possible in this patient population, having access to specialized wound and palliative experts can improve the quality of life for patients and their caregivers.

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Pressure Injury Prevention and Wound Management for the Patient Who Is Actively Dying

Cited by 4 publications

References 15 publications

How do wound care nurses structure the subjective frame on palliative wound care? A Q-methodology approach

How do wound care nurses structure the subjective frame on palliative wound care? A Q-methodology approach

How Do Wound Care Nurses Structure the Subjective Frame on Palliative Wound Care? A Q-Methodology Approach

Palliative Wound Care

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