Current practice in the management of wound odour: an international survey.

Abstract:

AIM:To determine from a multi-disciplinary and international perspective current practice in the management of wound odour. BACKGROUND:Malodour is cited by patients and carers as one of the most distressing and socially isolating aspects of their wounds. The absence of a standardised approach to assessment and management underscores the need to collect baseline data to support guideline development. DESIGN:On-line survey. METHODS:A study specific questionnaire in English, Spanish, Italian and German was emailed to wound care organisations worldwide, palliative and oncology nursing organisations, and known contacts with a special interest in wound management, for distribution to members between December 2011 and February 2012. RESULTS:1444 people from 36 countries responded. 12% assess odour with descriptive words being the most frequent form of assessment. Charcoal and silver based dressings were the most frequently used odour management agents, yet, only 48.4% and 23% respectively reported these as being very effective. Antimicrobial agents were cited as most effective but were not the most frequently used. 8% use aromatherapy oils direct to the wound, and 74% combine a range of dressings to try and manage odour. Odour, pain and exudate management were the greatest wound management challenges facing patients and clinicians. 46.7% of respondents encounter patients with MFW on a monthly basis and 89% agreed there is a need to develop guidelines in this area. CONCLUSION:A 'trial and error' approach to odour management exists with low overall satisfaction with current practice. There is a need for research and education on means to assess odour and odour management options.

journal_name

Int J Nurs Stud

authors

Gethin G,Grocott P,Probst S,Clarke E

doi

10.1016/j.ijnurstu.2013.10.013

subject

Has Abstract

pub_date

2014-06-01 00:00:00

pages

865-74

issue

6

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(13)00321-0

journal_volume

51

pub_type

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