Wound Management at Home: A Crucial Part of Cancer Palliative Care

Introduction: In cancer patients, various types of wounds may be developed due to immobility, underlying diseases, malnutrition and treatment procedures. These include pressure ulcers, malignant ulcers, diabetic foot ulcers, and surgical wounds. Cancer patients can be involved with pressure sores, which can be associated with significant complications and mortality. The Iranian Cancer Control Center (MACSA) is a facility that provides palliative and supportive services, including wound prevention and treatment for hospitalized and inpatient cancer patients.Materials and Methods: The main objective of this research is to demonstrate the frequency and percentage of wound treatment services provided by MACSA in Tehran from May ۲۰۱۸ to September ۲۰۲۳. This study focuses on patients whose information has been extracted from the home care MACSA database.Results: MACSA has successfully provided home care for ۳,۰۴۴ patients. Additionally, ۱۸۹ out of ۳,۰۴۴ subjects, which accounts for ۶.۲۱ percent of all the patients in Tehran, have been receiving wound treatment services. ۱۰۶ (۵۶.۱۰%) males and ۸۳ (۴۳.۹۰%) females were included. The most common site of ulceration in patients was the buttock area, which occurred in ۲۶ patients (۱۳.۸%). The lowest occurrence of wounds was also observed in the elbow, with four patients (۲.۱%).Conclusion: Ulcers can occur in cancer patients, causing numerous problems for both the patient and their caregivers. Due to the limited mobility experienced by many cancer patients, it is necessary to provide wound care services to palliative care patients in their homes, as well as in clinics and hospitals. Preventing the formation or exacerbation of wounds is crucial, particularly in the fields of supportive and palliative care. This requires training for patients, caregivers, and healthcare staff.

کلیدواژه ها:

Pressure Ulcer ، Bed Sore ، Cancer ، Palliative Care