Development of palliative wound care at the end of life in the emergency department

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K10905
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Osaka Metropolitan University (2022); Nara Medical University (2019-2021)
• Principal Investigator: SATAKE YOKO 大阪公立大学, 大学院看護学研究科, 准教授 (90641580)
• Co-Investigator(Kenkyū-buntansha): 石澤 美保子 奈良県立医科大学, 医学部, 教授 (10458078) ; 升田 茂章 奈良県立医科大学, 医学部, 准教授 (80453223)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 救急看護 / 終末期 / 緩和ケア / 創傷ケア

Outline of Final Research Achievements

This study aimed to develop palliative wound care at the end of life in an emergency department that focuses on appearance changes. Although some skin disorders can be prevented with topical care, following an investigation of the characteristics of skin disorders in emergency patients and the problem of appearance changes at the end of life, appearance changes related to skin disorders in terminal patients were deemed potentially unavoidable. With regard to palliative wound care in the emergency department, it was considered important to continue to provide preventive care timely and to care to the family’s grief associated with the patient’s change in appearance.

Free Research Field

救急看護

Academic Significance and Societal Importance of the Research Achievements

本研究により、救急領域における終末期患者の緩和的創傷ケアに必要な要素を明らかにすることができた。研究結果から、救急患者の皮膚障害に対するエビデンスに基づいた予防ケアの重要性、終末期の外見変化に対する家族への悲嘆ケアの重要性が示唆された。看護師が救急患者の外見変化に関心をよせ緩和的創傷ケアを実践することは、救急看護における終末期ケア実践能力の向上につながり、患者とその家族の安らかな尊厳ある看取りに寄与することが期待できる。