Don’t follow the mobilization protocols and those for the treatment of pressure sores as “standard” protocols in the dying patient.
Given the limited temporal horizon, the mobilization and the wound care performed routinely do not bring any benefit to the dying patient. Instead, these procedures can engender discomfort and cause unnecessary pain.At the end of life you need to redefine the goals of care and target them to the comfort and control of the disturbing symptoms. In particular, it is essential to assess the risk of pressure sores and use anti-decubitus devices without mobilizing the patient routinely but only according to his/her real needs and requirements, ensuring maximum comfort.
In presence of bedsores, taking into consideration that the continuous control of bacteria and/or the debridement of necrotic tissue are meaningless, it becomes a priority to use atraumatic dressings, which can remain in place for several days and can control the stink.
1. S. Grubich S, C. Franceschini , S.Ambrosi. La rimodulazione degli interventi infermieristici alla fine dela vita. In M.Costantini, C.Borreani ,S.Grubich. Migliorare la qualità delle cure di fine vita. Trento: Erickson, 2008. p 49-70.
Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.