Skin lesions in oncology palliative care: Observational study

Objective: Describe the characteristics of skin lesions of the type pressure lesions, tumor wounds and Kennedy's terminal ulcers that occur in cancer patients in palliative care. Methodology: Observational, cross-sectional and analytical with a quantitative approach. 99 (100%) patients with ski...

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Bibliographic Details
Authors: Carvalho, Maria Margarida Costa de, Macêdo, Winnie Taise Pena, Carneiro , Rayanne Bandeira, Xavier, Érika de Cássia Lima, Peixoto, Ivonete Vieira Pereira
Format: article
Status:Published version
Publication Date:2021
Country:Brasil
Institution:Universidade Federal de Itajubá (UNIFEI)
Repository:Research, Society and Development
Language:Portuguese
OAI Identifier:oai:ojs.pkp.sfu.ca:article/15350
Online Access:https://rsdjournal.org/index.php/rsd/article/view/15350
Access Level:Open access
Keyword:Enfermería Oncológica
Cuidados Paliativos
Heridas y Traumatismos
Cuidados Paliativos al Final de la Vida
Enfermería de cuidados paliativos al final de la vida.
Enfermagem oncológica
Ferimentos e Lesões
Cuidados Paliativos na Terminalidade da Vida
Enfermagem de cuidados paliativos na terminalidade da vida.
Oncology Nursing
Palliative Care
Wounds and Injuries
Hospice Care
Hospice and palliative care nursing.
Description
Summary:Objective: Describe the characteristics of skin lesions of the type pressure lesions, tumor wounds and Kennedy's terminal ulcers that occur in cancer patients in palliative care. Methodology: Observational, cross-sectional and analytical with a quantitative approach. 99 (100%) patients with skin lesions participated: 67 (67.68%) with tumor lesions, 28 (28.28%) with pressure injuries and 4 (4.04%) with Kennedy's terminal ulcers. Patients admitted to four wards and the oncological wounds outpatient clinic at Ophir Loyola Hospital, from May to November 2019, were included. Results: Tumor lesions presented with malignant ulcerative wounds 32 (44.44%), exudate 50 (69.44%), without odor 46 (63.89%), did not present necrosis 42 (58.33%), without bleeding 40 (55.56%), staging 3 (31.94%), location on the face (25%), without using a dressing (33.33%) and frequency of dressing once a day 69 (95.83%). In pressure injuries, the characteristics were exudate 22 (56.41%), no odor 28 (71.79%), necrosis 27 (69.23%), bleeding 32 (82.05%), staging II 17 (43 , 59%), sacred location 25 (64.10%), using hydrocolloid dressing 15 (38.46%) and frequency of dressing once a day (64.10%) and Kennedy's terminal ulcers, exudate 4 ( 66.67%), grade II odor 3 (50%), necrosis 4 (66.67%), bleeding 4 (66.67%), sciatic location 3 (50%), pear shape 3 (50%), using a dressing with chlorhexidine and metronidazole 3 (50%). Conclusion: it was shown the importance of individual assessment according to the needs and demands of each patient to seek comfort and quality of life.