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Palliative Wound Care: Principles of Care

doi: 10.1097/NHH.0000000000000015
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Palliative Wound Care: Principles of Care


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GENERAL PURPOSE: To provide information about the principles and goals of palliative wound care.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

  1. Recognize the goals and principles of palliative care and palliative wound care.
  2. Identify strategies and tools for palliative wound care.
  1. According to the World Health Organization, palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with
    1. healthcare costs.
    2. postoperative care.
    3. psychological emergency.
    4. life-threatening illness.
  2. Palliative wound care is considered wound care provided without the aim of
    1. pain control.
    2. complete wound healing.
    3. symptom management.
    4. care planning.
  3. According to Jones and colleagues, in 2008, what percentage of home health patients age 65 and over received wound care of some type?
    1. 5%
    2. 14%
    3. 35%
    4. 50%
  4. Palliative care can be a valuable choice when a patient is
    1. in a specific disease trajectory.
    2. recovering from an acute injury.
    3. asymptomatic.
    4. newly diagnosed with Stage 1 breast cancer.
  5. Healing probability tools can assist home healthcare staff in
    1. classifying wound stages.
    2. determining the risk for developing new wounds.
    3. using the appropriate wound-healing therapies.
    4. identifying situations that may impede healing.
  6. Which of these is a healing probability tool suggested by the authors for use in developing the plan of care?
    1. PSRA
    2. FRAIL
    3. Braden Scale
    4. Lawton IADL Scale
  7. Persons with advanced illness may be more susceptible to developing new wounds because of
    1. a compromised health status.
    2. elevated pain levels.
    3. the fear of terminal illness.
    4. increasing stress levels.
  8. According to Emmons and Lachman, palliative wound care principles
    1. are exclusive to hospice care.
    2. can be applied throughout the lifespan.
    3. are exclusive to end-of-life care.
    4. discount the possibility of healing end points.
  9. Palliative care takes a holistic approach based on the specific patient's
    1. set goals.
    2. disabilities.
    3. family support.
    4. economic resources.
  10. Of the following, themostcommon wounds clinicians see in patients who have advanced illness are
    1. arterial ulcers.
    2. malignant wounds.
    3. pressure ulcers.
    4. skin tears.
  11. To achieve wound healing with traditional wound care methods, clinicians must
    1. counsel the patient about expectations for health.
    2. incorporate complementary healing therapies.
    3. seek surgical options for damaged tissue.
    4. control or eliminate causative factors.
  12. When determining wound care goals and interventions to meet those goals, which of the following is the first question the clinician should ask the patient?
    1. Does the wound hurt more during dressing changes?
    2. What about the wound is bothering you the most?
    3. Are you afraid of exposing family members to the wound?
    4. Do you avoid going out in public because of this wound?
  13. Defining success in palliative care most often includes
    1. delaying the progression of underlying disease.
    2. achieving complete healing.
    3. planning rehabilitative therapies.
    4. managing each problematic goal.
  14. A palliative protocol may align with a healing protocol but should contain alternatives that address which of the following?
    1. Odor
    2. Bleeding
    3. Disfigurement
    4. Itching
  15. An appropriate palliative wound care protocol should include an approach that balances
    1. cost and return on investment.
    2. prevention and treatment.
    3. benefit and burden.
    4. cause and effect.


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