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Exploring nurses' and patients' feelings of disgust associated with malodorous wounds: a rapid review.
Ousey K, Roberts D
J Wound Care. 2016 Aug 2;25(8):438-442.
OBJECTIVE:
To identify primary empirical research related specifically to feelings of disgust associated with malodorous chronic cutaneous wounds.
METHOD:
A rapid review of the literature using the key words disgust; wounds; malodour and psychosocial.
RESULTS:
A total of 163 papers were retrieved with seven being included for the final review. Themes emanating from the review were malodour, health-care professionals coping with malodour and disgust. Malodour is a concern to patients, which can sometimes go unreported by nursing staff; although the reasons for this remain unclear. The coping mechanisms developed by nurses in response to 'disgusting' wounds requires further exploration in order for a fuller understanding of these mechanisms to be achieved. This review has identified that both health-care professionals and patients can become distressed at wound odours, yet there is little evidence that is available to guide people as to how to manage these feelings.
CONCLUSION:
Hard-to-heal or chronic cutaneous wounds, such as leg ulcers and diabetic foot ulcers, are an increasing global health-care issue. While some research has been undertaken to explore the psychological impact of living with a fungating carcinoma; much less has been written about the management and mitigation of feelings of disgust for patients and families living with a malodorous wound or how health-care professionals can effectively provide psychosocial care.
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