• myGriffith
    • Staff portal
    • Contact Us⌄
      • Future student enquiries 1800 677 728
      • Current student enquiries 1800 154 055
      • International enquiries +61 7 3735 6425
      • General enquiries 07 3735 7111
      • Online enquiries
      • Staff phonebook
    View Item 
    •   Home
    • Griffith Research Online
    • Journal articles
    • View Item
    • Home
    • Griffith Research Online
    • Journal articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

  • All of Griffith Research Online
    • Communities & Collections
    • Authors
    • By Issue Date
    • Titles
  • This Collection
    • Authors
    • By Issue Date
    • Titles
  • Statistics

  • Most Popular Items
  • Statistics by Country
  • Most Popular Authors
  • Support

  • Contact us
  • FAQs
  • Admin login

  • Login
  • Defining and Describing Terminal Ulcers in Dying Adults: An Integrative Review

    Author(s)
    Latimer, Sharon
    Walker, Rachel M
    Ray-Barruel, Gillian
    Shaw, Joanie
    Mackrell, Kristyn
    Hunt, Tracy
    Gillespie, Brigid M
    Griffith University Author(s)
    Gillespie, Brigid M.
    Ray-Barruel, Gillian A.
    Latimer, Sharon
    Walker, Rachel M.
    Year published
    2021
    Metadata
    Show full item record
    Abstract
    OBJECTIVE: To identify and synthesize the published primary literature on unavoidable skin breakdown and end-of-life wounds known as terminal ulcers. DATA SOURCES: Sources were identified through a systematic search of the Cochrane Library, Medline, ProQuest, Embase, CINAHL complete, and PubMed databases. STUDY SELECTION: The date limiters were set between 1984 and 2020 to locate primary qualitative, quantitative, and/or mixed methods studies on terminal ulcers. DATA EXTRACTION: Investigators examined 180 sources, and ultimately four quantitative studies were included in this review. All were conducted in the US and published ...
    View more >
    OBJECTIVE: To identify and synthesize the published primary literature on unavoidable skin breakdown and end-of-life wounds known as terminal ulcers. DATA SOURCES: Sources were identified through a systematic search of the Cochrane Library, Medline, ProQuest, Embase, CINAHL complete, and PubMed databases. STUDY SELECTION: The date limiters were set between 1984 and 2020 to locate primary qualitative, quantitative, and/or mixed methods studies on terminal ulcers. DATA EXTRACTION: Investigators examined 180 sources, and ultimately four quantitative studies were included in this review. All were conducted in the US and published between 1989 and 2019. Retrospective chart audits of deceased patients' medical files were undertaken in three of the studies, and prospective observations were used in the fourth. DATA SYNTHESIS: Descriptive and inductive content analyses were conducted. Three categories emerged: (1) distinguishing the ulcer development patterns, (2) identifying the ulcer characteristics, and (3) delivering specialized and individualized end-of-life care. CONCLUSIONS: There is limited primary evidence published on terminal ulcers. Pressure injuries and terminal ulcers have a similar appearance, but their development differs significantly. The lack of a specific terminal ulcer assessment tool and staging system increases the risk of these unavoidable end-of-life wounds being incorrectly assessed and managed as pressure injuries. Further research on terminal ulcers is needed to inform clinical practice and ensure specialized care is delivered to patients at end of life who develop these wounds.
    View less >
    Journal Title
    Advances in Skin & Wound Care
    DOI
    https://doi.org/10.1097/01.ASW.0000798032.98853.95
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Nursing
    Clinical sciences
    Publication URI
    http://hdl.handle.net/10072/409644
    Collection
    • Journal articles

    Footer

    Disclaimer

    • Privacy policy
    • Copyright matters
    • CRICOS Provider - 00233E

    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander