Articles producció científica> Infermeria

Kennedy terminal ulcer and other skin wounds at the end of life: An integrative review

  • Identification data

    Identifier: imarina:9173273
  • Authors:

    Roca-Biosca A
    Rubio-Rico L
    De molina-Fernández MI
    Martinez-Castillo JF
    Pancorbo-Hidalgo PL
    García-Fernández FP
  • Others:

    Author, as appears in the article.: Roca-Biosca A; Rubio-Rico L; De molina-Fernández MI; Martinez-Castillo JF; Pancorbo-Hidalgo PL; García-Fernández FP
    Department: Infermeria
    URV's Author/s: De Molina Fernandez, Maria Inmaculada / Rubio Rico, Maria Lourdes
    Keywords: Unavoidable pressure injuries Trombley-brennan terminal tissue injury Skin changes at life's end Search Scale Pressure injuries Pressure Ktu Kennedy terminal ulcer Failure End-of-life skin failure Care
    Abstract: © 2021 Tissue Viability Society Aims: To undertake an integrative literature review to identify, analyse and synthesize current literature on the Kennedy terminal ulcer (KTU) and other unavoidable skin injuries that appear at the end of life regardless of the healthcare context in which they occur. Methods: Integrative review following the Whittemore and Knafl methodology. The search was carried out in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus. It was limited to articles in English, French, Portuguese and Spanish. As there is little scientific production on the subject, no restrictions were applied regarding publication date. Results: Only 17 articles met the inclusion criteria. These articles were reviewed and analysed. Four relevant issues emerged: Skin failure, SCALE, Kennedy Terminal Ulcer, Trombley-Brennan: different names for the same problem; the defining characteristics and physiopathology of KTU; the differences between KTU and other injuries; and the care approach for KTU and other unavoidable injuries at the end of life. Conclusions: We identified gaps regarding the physiopathology of KTU since the current knowledge is based only on hypotheses. There is also a large gap in the knowledge about care approaches, perhaps because care plans are not recorded. Despite this, it is clear that the main objective in this situation at the end of life would be to prioritize patient comfort and quality of life.
    Thematic Areas: Pathology and forensic medicine Nursing Medicina iii Medicina i General medicine Enfermagem Dermatology Ciencias sociales
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: lourdes.rubio@urv.cat inmaculada.demolina@urv.cat
    Author identifier: 0000-0002-3862-0462 0000-0002-1429-4455
    Record's date: 2023-05-21
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://pubmed.ncbi.nlm.nih.gov/33685789/#full-view-affiliation-1
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Tissue Viability. 30 (2): 178-182
    APA: Roca-Biosca A; Rubio-Rico L; De molina-Fernández MI; Martinez-Castillo JF; Pancorbo-Hidalgo PL; García-Fernández FP (2021). Kennedy terminal ulcer and other skin wounds at the end of life: An integrative review. Journal Of Tissue Viability, 30(2), 178-182. DOI: 10.1016/j.jtv.2021.02.006
    Article's DOI: 10.1016/j.jtv.2021.02.006
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Dermatology,Nursing,Pathology and Forensic Medicine
    Unavoidable pressure injuries
    Trombley-brennan terminal tissue injury
    Skin changes at life's end
    Search
    Scale
    Pressure injuries
    Pressure
    Ktu
    Kennedy terminal ulcer
    Failure
    End-of-life skin failure
    Care
    Pathology and forensic medicine
    Nursing
    Medicina iii
    Medicina i
    General medicine
    Enfermagem
    Dermatology
    Ciencias sociales
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