Cancer Wound Care

(4) Infection:

Cancerous wounds are highly susceptible to tissue loss of activity or decay. All cancerous wounds have bacterial colonization. There is no clinical symptoms of infection (local: redness and swelling of heat pain, increased exudation, increased odor and systemic symptoms of fever, white blood cell count, etc.) does not advocate systemic use of antibiotics.

Care methods: Systemic antibiotics According to the results of bacterial culture compliance. Local treatment carefully remove necrosis tissue, mild flushing (hydrogen peroxide, saline, iodine, saline, gentamicin), adequate drainage. Use an anti-infection dressing (iodine or silver). Debridement solution to select saline washing, the use of liquid flotation and fluidity to remove foreign bodies, blood clots, tissue debris secretion, to achieve preliminary cleaning. Disinfectant: 3% hydrogen peroxide is inexpensive, is an oxygen-containing disinfectant, the use of new oxygen to clean up the tissue of shallow dirt and tissue debris, and have hemostatic and reverse the role of acute inflammation. Iodine-containing disinfectant has good effect, no obvious cytotoxic side effect. During the debridement process, most bacteria can be removed to improve the healing environment by hydrogen peroxide scrubbing, saline flushing, iodine disinfection and necrosis tissue clearance.

(5) Odor:

An unpleasant odor or odor is the most troubling concurrent syndrome of cancerous wounds. Stimulation of smell, resulting in nausea, difficulty for patients and families, may lead to social isolation. Odors can come from wound infection, necrotic tissue, or fistula that communicates with the gut.

Odor often mixed with infection caused by such as Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa.

Care methods: Removing corrupt necrotic tissue helps to reduce odor, and debridement must be careful.

Hard scabs help to wrap up the odor, but will hinder wound healing, with careful debridement of wounds that may heal. Dressings are selected first against infection dressings. Second, the use of odor control agents, wounds local, the whole body and the environment can be used. There are carbon-filtered pockets, carbon-containing dressings, and tea bags that absorb odors. Use air freshener to improve air odor.

(6) Infiltration liquid:

Cancerous wounds are rich in blood vessels, increased vascular permeability, local congestion and wound necrosis tissue become a medium for bacterial overgrowth, and an infection or inflammatory reaction can cause excessive infiltration. The infiltration fluid increases the quality of life of patients, and the change of dressing times increases, and fatigue is easy.

Care methods: Evaluate the type, quantity, color and odor of leachate, viscosity, infection control, fistula treatment, control edema; Using a pocket to control this problem and reduce the frequency of replacement dressings is an economical and effective way to select appropriate indications; cavity wound filled with high absorption dressings of alginate silver ions, love Kang silver ion dressing; No bleeding wounds with iodine, carbon or iodine-containing oil yarns; creative interventions in individual situations.

8. Evaluation of Nursing Effect:

For most patients, the complete healing of a wound is not the result of a nursing effort. Keep the patient in good mood, control pain is the purpose of nursing.

9. Preventive measures of cancerous wounds:

Early detection of cancer knowledge censuses, early diagnosis of suspicious wound pathology, and increased practitioner’s knowledge of treatment of wound lesions.