Abstrak:
Patients with malignant fungating wounds (MFW) experience distressing symptoms such as unpleasant odor, exudate leakage, bleeding, and pain. The odor from the wound and frequent leakage of exudate significantly disrupt their daily lives, causing inconvenience and embarrassment during routine activities. Unpredictable bleeding can become difficult to control. Patients tend to avoid social interactions due to feelings of shame and distress. They often hide their wounds because of embarrassment and a loss of self-confidence. Additionally, they may suffer from body image issues related to the loss of femininity, leading them to avoid intimate relationships with their partners. Nurses face significant challenges in addressing both the physical and psychosocial suffering of patients with MFW. Proper wound care management can be a solution to help alleviate the patient's discomfort and restore patient dignity. Methods this study was a case study in patient with malignant fungating wounds. Nursing interventions are implemented with an emphasis on a targeted approach to effective wound care, which encompasses wound management, psychological support, symptom and pain management, and patient and family education. Results a ppropriate wound care strategies are implemented, including the used of advanced dressings to reduce odor, bleeding control, and manage exudates. Antimicrobial dressing, alginate, and foam were used. These advanced dressing also help alleviate the patient’s discomfort and pain. Nurse also provide education to the patient and their family regarding how to properly change dressings, manage exudate, and help the patient and family feel more confident and capable in handling the challenges of palliative care. Conclusion proper wound care helps alleviate both physical pain and psychological distress. The nurse's role in managing malignant fungating wounds with appropriate care is essential in reducing discomfort and restoring the patient's dignity.
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