Malignant Wound Management - PowerPoint PPT Presentation

Malignant Wound Management

By:

Peter Hancock, CN Cancer Nursing Professorial Precinct and RBWH Radiation Treatment Unit

• Describe Malignant wounds
• Gain ability to adapt and plan patient care as required
• Increase knowledge base surrounding nursing interventions for malignant wounds
• Recognise incorrect product applications and provide appropriate remedies

• A mass of malignant tissue that has infiltrated the epithelium and broken through the skin surface
• Often associated with palliative treatment trajectories
• Malignant wounds are defined as an uncontrolled proliferation of cells within the skin bed that encompass the supporting blood vessels and structures
• Why is it important to understand the care of these wounds?

• Wound Assessment: size, location, exudate
• Pain
• Odour
• Psychosocial

• Malignant wounds spread like an electrical current, using the pathways of least resistance
• This includes tissue structures and anatomy, circulatory systems and lymphatic channels

• They present as multiple non painful nodules of varying colours and consistencies such as pink, violet-blue, brown or black
• They rapidly develop into papulous lesions which then form shallow craters complicated with sinus tracts or fistulas

• occur across all tumour streams
• 62% of all malignant wound occurrences can be associated with breast primaries
• Head and neck cancer accounts for approximately 24% of wound sites
• Genitalia account for approximately 3% of wound sites
• all other regions account for the remaining 8%

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