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Wound outcomes in patients with advanced illness
Vincent Maida1, Marguerite Ennis, Jason Corban
1University of Toronto, ON, Canada. vincent.maida@utoronto.ca
International Wound Journal
|February 3, 2012
Summary
Complete wound healing is possible in patients with advanced illness, particularly for pressure ulcers and skin tears. Healing rates increase with longer survival times, offering valuable insights for palliative care wound management.
Area of Science:
- Palliative Care
- Wound Healing
- Gerontology
Background:
- Advanced illness presents complex wound management challenges.
- Palliative care programs aim to improve quality of life, including symptom management.
- Wound healing potential in this population requires further investigation.
Purpose of the Study:
- To assess the feasibility of complete wound healing in patients with advanced illness.
- To identify wound types with higher healing potential within palliative care.
- To analyze healing rates based on patient survival duration.
Main Methods:
- Prospective case series design.
- Inclusion of 282 patients with advanced cancer or non-cancer diagnoses.
- Documentation and classification of 823 wounds, including pressure ulcers, skin tears, and leg ulcers.
Main Results:
- Complete healing rates varied significantly by wound type and survival time.
- Stage I and II pressure ulcers, skin tears, and venous leg ulcers showed notable healing.
- No complete healing was observed for malignant, arterial, or unstageable pressure ulcers.
Conclusions:
- Complete wound healing can occur in advanced illness patients within palliative care.
- Healing potential is wound-type dependent and influenced by survival duration.
- Findings inform tailored wound care strategies in palliative settings.
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