Cuidados en el deterioro de la integridad cutánea secundaria a carcinoma ductal

Abstract

IntroductionThe treatment and healing of wounds in cancer patients complex, potentially resulting in failure, as much due to the nature and effects of the oncological disease, as to its process and the chemotherapy and / or radiotherapy treatment. For this reason we attempt to evaluate the suitability of new dressings, such as the trilaminar foam dressing with soft gel adhesive in malignant mammary wounds. Clinical caseDescriptive case study on the use of trilaminar foam dressing, with soft gel adhesive, in the care of a breast tumour ulcer secondary to infiltrating ductal carcinoma of skin, with a calcified left breast. We evaluated: the amount of exudate, odour, surface characteristics of contact bleeding, and social and psychological welfare.Due to symptoms of discomfort it was decided to change the type of traditional care (gauze dressing), into the care with the trilaminar foam dressing. The follow-up was 6 months, with 2 to 3 weekly visits, during which we promoted self-care and correct use of the dressing.The first dressings reduced the bad odour and comfort was improved by decreasing the thickness dressing, as the hydrocellular dressing gave the women greater mobility, better adjustment and correction, and aesthetic effect. The contact zone of the wound with the dressing was kept at the ideal humidity, controlling the exudate, enabling the women to go out without fear of soiling their clothes. The soft adhesive dressing remained in contact with the wound, and was painless to remove, showing no pain or bleeding. The dressings were changed every 48h, and 72h at the end of the period of follow-up. ConclusionsUse of trilaminar foam dressing, with soft gel adhesive, was suitable for malignant fungating wounds, improving the symptoms and the patient satisfaction with the care.