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MALIGNANT WOUNDS ASSESSMENT AND …

90 MALIGNANT WOUNDS ASSESSMENT AND MANAGEMENT ALGORITHM ASSESSMENT /DIAGNOSIS Complete History Physical Status Psychosocial and Quality of Life Concerns Nutritional ASSESSMENT Investigations/Diagnostic Tests wound ASSESSMENT TREAT THE CAUSE Surgery Chemotherapy Radiotherapy Hormonal Blocking Agents TREAT PATIENT/FAMILY CONCERNS Pain Management Impact on the Patient Address Psychological Issues and Coping Strategies Refer to Recommendations on Care of the wound bed TREAT THE wound Prevent/Treat Infection Control Bleeding Manage Exudates Control Odor Preserve Peri- wound Skin Integrity Aesthetic Dressing Stabilization Refer to Recommendations on Care of the wound bed 91 MALIGNANT WOUNDS INTRODUCTION A MALIGNANT wound is also known as tumor necrosis, a fungating wound , ulcerating cancerous wound , or MALIGNANT cutaneous wound .

o Patients living with malignant wounds often must cope with the issues of pain, physical disfigurement, diminished function and mobility, intolerable wound odor and advancing cancer. o Malignant wounds can impact the patient’s body image, self-esteem, psychological well-being and quality of life. Common psychological reactions

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