Literature Review Malignant Fungating Wound

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Integrative Literature Review: Malignant Fungated Wound Odour Management among Patients with Cancer
Submitted to: Dr. Nijmeh AL-Atiyyat Submitted by: Faten Odeh
The Hashemite University
Faculty of Nursing Advance Oncology Nursing ( 1 )

Background: Malignant fungating wound (MFW) odour management among cancer patients is a significant rising problem; this problem causes extreme physical and psychological distress not only for patient, but also for his or her family and their health care provider, and impaired the quality of life. Therefore, MFW odour management increase the challenges in providing good care for cancer patient.
Purpose: To review and analyze a recent
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Bergstrom, K. J. (2011). Assessment and Management of Fungating Wounds. Journal of Wound Ostomy & Continence Nursing, 38(1), 31-37.‏
5. Da Costa Santos, C. M., De Mattos Pimenta, C. A., & Nobre, M. R. C. (2010). A Systematic Review of Topical Treatments to Control the Odor of Malignant Fungating Wounds. Journal of Pain and Symptom Management, 39(6), 1065-1076.‏
6. Finlay, I. G., Bowszyc, J., Ramlau, C., & Gwiezdzinski, Z. (1996). The Effect of Topical 0.75% Metronidazole Gel on Malodorous Cutaneous Ulcers. Journal of Pain and Symptom Management, 11(3), 158-162.‏
7. Fromantin, I., Watson, S., Baffie, A., Rivat, A., Falcou, M. C., Kriegel, I., & de Rycke, I. Y. (2014). A prospective, descriptive cohort study of malignant wound characteristics and wound care strategies in patients with breast cancer. Ostomy/wound management, 60(6), 38-48.‏
8. Gibson, S., & Green, J. (2013). Review of Patients' Experiences with Fungating Wounds and Associated Quality Of Life. Journal of Wound Care, 22(5), 265-275.‏
9. Gethin, G., Grocott, P., Probst, S., & Clarke, E. (2014). Current Practice in The Management of Wound Odour: An international Survey. International Journal of Nursing Studies, 51(6),
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3-There were no adverse reactions from treatment.

3. Finlay, et al. (1996) Randomized clinical trial study 1-20 patients had malodour MFWs .
2-The age range of patients 25-93 years .
3-12 were male and 36 were female patients. To assess the effect of topical 0.75%Metronidazole Gel on malodorous Cutaneous Ulcers. 1-By day 7 ,malodour had fallen to 11% and by day14 to 4%. 41 patient (95%) of 43 patients at 14 days reported decreased smell.
2-Significant anaerobic bacteria elimination from 21 patients (84%) which initially found in 25 patients (53%).
4. Lian, et al. (2014). Randomized clinical trial study 1-30 patients with malodorous MFW.
2-There were 27 females and 3 males in this study.
3-The age of the patients ranged from 33 to 81 years To compare effectiveness of green tea versus topical Metronidazole powder in controlling malodour of MFW 1-All patients in both groups (green tea group & topical Metronidazole powder) showed reduction in odour control by Day 7 without significant difference.
5. Yian (2005) case study 2 female with breast MFW (47,59 years old). To assess the effectiveness of green tea in controlling odour from MFW of breast 1-The result was malodour and exudate of MFWs were

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