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Published on: December 4, 2021
Fear of malignant fungating wounds
1District Nurse Apprentice. Manchester Metropolitan University/Northern Care Alliance NHS Foundation Trust.
Background:
The poor prognosis and clinical presentation of malignant fungating wounds (MFWs) can lead to service users experiencing various dimensions of fear.
Aim:
This article encourages district nurses (DNs) to explore the psychological factors associated with MFWs in the community setting.
Method:
The reviewed literature discusses DN practice, with supplementary sources utilised to provide a wider perspective on the multifaceted nature of the subject.
Findings:
Guidelines advocate that DNs should promptly initiate dialogue to address fears, establish trust and enable service users with MFWs to express concerns, thus facilitating a holistic provision of care. It is crucial to leverage the multidisciplinary team and engage with other agencies to provide support for service users. Effective leadership qualities play a vital role in initiating practice changes that ultimately benefit service users, while also considering clinical governance aspects.
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