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1.  Fungating Wounds – Multidimensional Challenge in Palliative Care 
Breast Care  2011;6(1):21-24.
Summary
The management of fungating, malignant wounds is a challenge for the palliative care team. Open, malodorous, poorly healing lesions are obvious signs of underlying disease. In addition, pain and functional impairment remind the patients of their incurable illness. A multidimensional approach is necessary to meet the needs of these patients and to improve quality of life. Although achieving wound closure is rarely a realistic goal, modern techniques of wound management can help to minimize odours and exudates. Specialist knowledge in palliative care is needed to provide adequate pain control. Psychosocial support may help patients to cope with the situation and their limited abilities.
doi:10.1159/000324923
PMCID: PMC3083267  PMID: 21547022
Local wound management; Odour; Pain; Bleeding; Necrosis
2.  Pain Management and Symptom-Oriented Drug Therapy in Palliative Care 
Breast Care  2011;6(1):27-34.
Summary
Patients with advanced life-limiting disease often suffer from symptoms that considerably impair their quality of life and that of their families. Palliative care aims to alleviate these symptoms by a multidimensional approach. Pharmacotherapy is an essential component. The objective of this review is to give an overview of symptom-oriented drug therapy for the most important symptoms in palliative care. Leading symptoms that affect quality of life include pain, dyspnea, nausea and emesis, weakness and disorientation. Careful examination and history taking help to understand the individual mechanisms underlying these symptoms. Specific pharmacotherapy provides an efficient way to achieve symptom control in the context of palliative care.
doi:10.1159/000324702
PMCID: PMC3083268  PMID: 21547023
Palliative care; Symptoms; Pain therapy; End of life; Opioids

Results 1-2 (2)