Management of malignant fungating wounds in advanced cancer.
OBJECTIVE: To review the pathophysiology and assessment of malignant wounds and management techniques aimed at controlling pain, odor, exudate, and local bleeding. DATA SOURCES: Current research and published literature. CONCLUSION: Assessment of malignant wounds, selection of appropriate dressings, related symptom management, and patient and family support are vital aspects of cutaneous wound management in advanced cancer. IMPLICATIONS FOR NURSING PRACTICE: A thorough understanding of the care of malignant wounds will assist oncology nurses achieving palliative goals of care including optimal symptom management, odor and drainage control, and emotional support.