Therapeutic Interventions in Fungating Wounds: Case Reports

Detalhes bibliográficos
Autor(a) principal: da Silva, Karine Raphaela Missias
Data de Publicação: 2015
Outros Autores: Bontempo, Priscila de Souza Maggi, dos Reis, Paula Elaine Diniz, Vasques, Christiane Inocêncio, Gomes, Isabelle Pimentel, Simino, Giovana Paula Rezende
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/232
Resumo: Introduction: Fungating wounds (FW) are formed by the infiltration of malignant cells in the skin structure, with local invasion, which occurs as the result of uncontrolled cell proliferation. The signs and symptoms such as odor, pain, bleeding, itching and exudate are observed with great frequency. Objectives: This study aimed to describe the nursing interventions employed to decrease the signs and symptoms of FW. Cases report: This is a series of two cases followed during the dressing change for evaluating FW in relation to staging and symptoms. Different dressings were used according to the characteristics of each FW. The odor was controlled with charcoal dressings, chlorhexidine gluconate 4% and metronidazole. To absorb and contain exudate, we used calcium and sodium alginate fiber and absorptive dressings with charcoal. The bleeding was controlled with sodium and calcium alginate fiber and petrolatum gauze. The pain was measured and controlled by analgesia. Conclusion: FW have individual characteristics and need specialized attention. The association between distinct dressing choices can decrease signs and symptoms.
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spelling Therapeutic Interventions in Fungating Wounds: Case ReportsIntervenciones Terapéuticas de Ulceras Tumorales: Reporte de CasosIntervenções Terapêuticas em Feridas Tumorais: Relato de CasosÚlcera CutâneaNeoplasiasEnfermagem OncológicaCuidados PaliativosRelatos de CasosSkin UlcerNeoplasmsOncologic NursingPalliative CareCase ReportsÚlcera CutáneaNeoplasiasEnfermería OncológicaCuidados PaliativosInformes de CasosIntroduction: Fungating wounds (FW) are formed by the infiltration of malignant cells in the skin structure, with local invasion, which occurs as the result of uncontrolled cell proliferation. The signs and symptoms such as odor, pain, bleeding, itching and exudate are observed with great frequency. Objectives: This study aimed to describe the nursing interventions employed to decrease the signs and symptoms of FW. Cases report: This is a series of two cases followed during the dressing change for evaluating FW in relation to staging and symptoms. Different dressings were used according to the characteristics of each FW. The odor was controlled with charcoal dressings, chlorhexidine gluconate 4% and metronidazole. To absorb and contain exudate, we used calcium and sodium alginate fiber and absorptive dressings with charcoal. The bleeding was controlled with sodium and calcium alginate fiber and petrolatum gauze. The pain was measured and controlled by analgesia. Conclusion: FW have individual characteristics and need specialized attention. The association between distinct dressing choices can decrease signs and symptoms.Introducción: Ulceras tumorales (UT) se forman por la infiltracion de celulas malignas en la estructura de la piel, con perdida de la solucion de continuidad de la piel debido a la proliferacion celular. Los signos y sintomas mas comunes son mal olor, dolor, sangrado, comezon y exudado. Objetivo: Este estudio tuvo como objetivo describir las intervenciones de enfermeria para reducir los signos y sintomas de HT. Reporte de Casos: Dos pacientes fueron acompanados para la evaluacion en relacion al estado previo de la ulcera y el control de senales y sintomas. Diferentes apositos se han utilizado segun las caracteristicas de cada UT. Para el control del mal olor se uso apositos de carbon com plata, degermante clorhexidina y metronidazol. Se utilizo la fibra de alginato de calcio y sodio y apositos absorbentes con carbon activado en la contencion y absorcion del exudado. El sangrado se controlo con fibra de alginato de sodio y calcio y gasa con petrolatum. El dolor se midio y se controlo con la analgesia. Conclusión: Las UT tienen caracteristicas particulares y la necesitan de una atencion especializada. La asociacion entre distintos productos en el tratamiento de las ulceras tumorales puede reducir los signos y sintomas. Introdução: Feridas tumorais (FT) são formadas pela infiltração de células malignas na estrutura da pele, havendo perda da solução de continuidade cutânea em virtude da proliferação celular descontrolada. Sinais e sintomas como odor, dor, sangramento, exsudato e prurido são observados com frequência. Objetivo: Descrever as intervenções de enfermagem empregadas para minimizar sinais e sintomas da FT. Relato de casos: Dois pacientes com FT foram acompanhados para avaliação quanto ao estadiamento da ferida e controle de sinais e sintomas. Diferentes coberturas foram utilizadas nos curativos, de acordo com a demanda de cada FT. Para controle do odor, utilizaram-se carvão ativado, clorexidina degermante e metronidazol. O manejo do exsudato foi realizado por meio do uso de alginato de cálcio e sódio em fibra e curativos absortivos com carvão ativado. O sangramento era controlado com alginato de cálcio e sódio em fibra e gaze embebida em petrolato. A dor foi mensurada e controlada por meio de analgesia. Conclusões: As FT apresentam características peculiares e necessitam de atenção especializada. A associação de coberturas nos curativos possibilitou minimizar sinais e sintomas.INCA2015-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/23210.32635/2176-9745.RBC.2015v61n4.232Revista Brasileira de Cancerologia; Vol. 61 No. 4 (2015): Oct./Nov./Dec.; 373-379Revista Brasileira de Cancerologia; Vol. 61 Núm. 4 (2015): oct./nov./dic.; 373-379Revista Brasileira de Cancerologia; v. 61 n. 4 (2015): out./nov./dez.; 373-3792176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/232/145da Silva, Karine Raphaela MissiasBontempo, Priscila de Souza Maggidos Reis, Paula Elaine DinizVasques, Christiane InocêncioGomes, Isabelle PimentelSimino, Giovana Paula Rezendeinfo:eu-repo/semantics/openAccess2021-11-29T20:08:10Zoai:rbc.inca.gov.br:article/232Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:08:10Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Therapeutic Interventions in Fungating Wounds: Case Reports
Intervenciones Terapéuticas de Ulceras Tumorales: Reporte de Casos
Intervenções Terapêuticas em Feridas Tumorais: Relato de Casos
title Therapeutic Interventions in Fungating Wounds: Case Reports
spellingShingle Therapeutic Interventions in Fungating Wounds: Case Reports
da Silva, Karine Raphaela Missias
Úlcera Cutânea
Neoplasias
Enfermagem Oncológica
Cuidados Paliativos
Relatos de Casos
Skin Ulcer
Neoplasms
Oncologic Nursing
Palliative Care
Case Reports
Úlcera Cutánea
Neoplasias
Enfermería Oncológica
Cuidados Paliativos
Informes de Casos
title_short Therapeutic Interventions in Fungating Wounds: Case Reports
title_full Therapeutic Interventions in Fungating Wounds: Case Reports
title_fullStr Therapeutic Interventions in Fungating Wounds: Case Reports
title_full_unstemmed Therapeutic Interventions in Fungating Wounds: Case Reports
title_sort Therapeutic Interventions in Fungating Wounds: Case Reports
author da Silva, Karine Raphaela Missias
author_facet da Silva, Karine Raphaela Missias
Bontempo, Priscila de Souza Maggi
dos Reis, Paula Elaine Diniz
Vasques, Christiane Inocêncio
Gomes, Isabelle Pimentel
Simino, Giovana Paula Rezende
author_role author
author2 Bontempo, Priscila de Souza Maggi
dos Reis, Paula Elaine Diniz
Vasques, Christiane Inocêncio
Gomes, Isabelle Pimentel
Simino, Giovana Paula Rezende
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv da Silva, Karine Raphaela Missias
Bontempo, Priscila de Souza Maggi
dos Reis, Paula Elaine Diniz
Vasques, Christiane Inocêncio
Gomes, Isabelle Pimentel
Simino, Giovana Paula Rezende
dc.subject.por.fl_str_mv Úlcera Cutânea
Neoplasias
Enfermagem Oncológica
Cuidados Paliativos
Relatos de Casos
Skin Ulcer
Neoplasms
Oncologic Nursing
Palliative Care
Case Reports
Úlcera Cutánea
Neoplasias
Enfermería Oncológica
Cuidados Paliativos
Informes de Casos
topic Úlcera Cutânea
Neoplasias
Enfermagem Oncológica
Cuidados Paliativos
Relatos de Casos
Skin Ulcer
Neoplasms
Oncologic Nursing
Palliative Care
Case Reports
Úlcera Cutánea
Neoplasias
Enfermería Oncológica
Cuidados Paliativos
Informes de Casos
description Introduction: Fungating wounds (FW) are formed by the infiltration of malignant cells in the skin structure, with local invasion, which occurs as the result of uncontrolled cell proliferation. The signs and symptoms such as odor, pain, bleeding, itching and exudate are observed with great frequency. Objectives: This study aimed to describe the nursing interventions employed to decrease the signs and symptoms of FW. Cases report: This is a series of two cases followed during the dressing change for evaluating FW in relation to staging and symptoms. Different dressings were used according to the characteristics of each FW. The odor was controlled with charcoal dressings, chlorhexidine gluconate 4% and metronidazole. To absorb and contain exudate, we used calcium and sodium alginate fiber and absorptive dressings with charcoal. The bleeding was controlled with sodium and calcium alginate fiber and petrolatum gauze. The pain was measured and controlled by analgesia. Conclusion: FW have individual characteristics and need specialized attention. The association between distinct dressing choices can decrease signs and symptoms.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de Caso
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/232
10.32635/2176-9745.RBC.2015v61n4.232
url https://rbc.inca.gov.br/index.php/revista/article/view/232
identifier_str_mv 10.32635/2176-9745.RBC.2015v61n4.232
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/232/145
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 61 No. 4 (2015): Oct./Nov./Dec.; 373-379
Revista Brasileira de Cancerologia; Vol. 61 Núm. 4 (2015): oct./nov./dic.; 373-379
Revista Brasileira de Cancerologia; v. 61 n. 4 (2015): out./nov./dez.; 373-379
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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