Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Assessment and Management of Fungating Wounds

Bergstrom, Kelli J.

Journal of Wound, Ostomy and Continence Nursing: January/February 2011 - Volume 38 - Issue 1 - p 31–37
doi: 10.1097/WON.0b013e318202c274
WOUND CARE
Buy

A fungating wound is a malignant lesion that infiltrates the skin and its supporting blood and lymph vessels. They tend to develop in the last few months of a patient's life, and often impair psychosocial well-being. Fungating wounds present unique challenges for WOC nursing management, including prevention or management of bleeding and control of exudate and odor. Our knowledge of the epidemiology, etiology, assessment, and management of these lesions is limited. This article provides an overview of the epidemiology of fungating wounds, their assessment and options for management, focusing on local wound management, control of associated symptoms, and psychosocial support for patient and family.

Kelli J. Bergstrom, BSN, RN, ET, CWOCN, The James Cancer Hospital and Solove Research Institute Columbus, Ohio.

Correspondence: Kelli J. Bergstrom, BSN, RN, ET, CWOCN, The James Cancer Hospital and Solove Research Institute, 300 W 10th St, Starling Loving Hall Rm M200, Columbus, OH 43210 (kelli.bergstrom@osumc.edu).

Copyright © 2011 by the Wound, Ostomy and Continence Nurses Society