| Le Roux |
Teler System:
5: Odorless;
4: Odor detected when removing bandage;
3: Evident odor when removing clothes;
2: Evident odor at the distance of "one arm";
1: Evident odor when entering room;
0: Evident odor when entering ward |
Browne, Grocott P, Cowley S, Cameron J, Dealey C, Keogh A et al.(1313 Browne N, Grocott P, Cowley S, Cameron J, Dealey C, Keogh A, et al. Wound Care Research for Appropriate Products-WRAP: validation of the TELER method involving users. Int J Nurs Stud [Internet]. 2004 [cited 2017 Jan 15]; 41(5):559-71. Available from: http://www.journalofnursingstudies.com/article/S0020-7489(03)00209-8/pdf
http://www.journalofnursingstudies.com/a...
)
|
Validation as a method of evaluation on the performance of the curative |
| - |
Gradual scale:
I: Felt only after bandage removal;
II: Felt without bandage removal;
III: Foul and nauseating |
Firmino F(44 Firmino F. [Patients carriers of neoplasic wounds in palliative care services: contributions to elaboration of nursing protocol interventions]. Rev Bras Cancerol [Internet]. 2005 [cited 2017 Jan 8]; 51(4):347-59. Available from: http://www.inca.gov.br/rbc/n_51/v04/pdf/revisao6.pdf Portuguese.
http://www.inca.gov.br/rbc/n_51/v04/pdf/...
)
|
To describe the use of the scale for verifying odor intensity |
Haughton W, Young T(1515 Haughton W, Young T. Common problems in wound care: malodorous wounds. Br J Nurs [Internet]. 1995 [cited 2017 Jan 15]; 4(16):959-63. Available from: https://www.magonlinelibrary.com/doi/pdf/10.12968/bjon.1995.4.16.959
https://www.magonlinelibrary.com/doi/pdf...
)
|
Odor evaluation guideline:
Odorless: No odor is evident, even at the patient's bedside and with the bandage removed;
Mild: Odor is evident at the patient's bedside and with the bandage removed;
Moderate: Odor is evident when entering the room (6-10 feet of distance) and with the bandage removed;
Strong: Odor is evident when entering the room (6-10 feet of distance) and with bandages on; |
Leadbeater M(1111 Leadbeater M. Assessment and treatment of fungating, malodorous wounds. Br J Community Nurs [Internet]. 2016[cited 2017 Jan 10];21(S3):S6-S10. Available from: https://www.magonlinelibrary.com/doi/pdf/10.12968/bjcn.2016.21.Sup3.S6
https://www.magonlinelibrary.com/doi/pdf...
)
|
To explain the evaluation and treatment of neoplastic wounds |
Sacramento CJ, Reis PED, Simino GPR, Vasques CI(1717 Sacramento CJ, Reis PED, Simino GPR, Vasques CI. [Management of signs and symptoms in malignant wounds: an integrative review]. Rev Enferm Cent O Min [Internet]. 2015 [cited 2017 Jan 10]; 5(1):1514-27. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/download/944/841 Portuguese.
http://www.seer.ufsj.edu.br/index.php/re...
)
|
To identify nursing interventions to control or reduce signs and symptoms resulting from tumor wounds |
Alexander S(2020 Alexander S. Malignant fungating wounds: epidemiology, aetiology, presentation and assessment. J Wound Care [Internet]. 2009 [cited 2017 Jan 15]; 18(7):273-80. Available from: http://www.thinktag.it/system/files/2121/mi412_.pdf?1292080188
http://www.thinktag.it/system/files/2121...
)
|
To synthesize the literature on epidemiology, etiology, presentation and evaluation of neoplastic wounds |
Lund-Nielsen B, Adamsen L, Kolmos HJ, Rørth M, Tolver A, Gottrup F(2323 Lund-Nielsen B, Adamsen L, Kolmos HJ, Rørth M, Tolver A, Gottrup F. The effect of honey-coated bandages compared with silver-coated bandages on treatment of malignant wounds-a randomized study. Wound Repair Regen [Internet]. 2011 [cited 2017 Jan 10]; 19(6):664-70. Available from: http://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1524-475X.2011.00735.x
http://onlinelibrary.wiley.com/doi/pdf/1...
)
|
To compare the effect of bandage cover with honey and cover with silver in the treatment of malignant wounds |
Williams C(1414 Williams C. Role of CarboFlex in the nursing management of wound odour. Br J Nurs [Internet]. 2001 [cited 2017 Jan 15]; 10(2):122-5. Available from: http://www.magonlinelibrary.com/doi/pdf/10.12968/bjon.2001.10.2.5395
http://www.magonlinelibrary.com/doi/pdf/...
)
|
To describe causes, methods of assessment and treatment strategies |
| - |
Four-level scale:
None;
Mild;
Moderate;
Intense |
Fromantin I, Watson S, Baffie A, Rivat A, Falcou MC, Kriegel I et al.(2222 Fromantin I, Watson S, Baffie A, Rivat A, Falcou MC, Kriegel I, et al. A prospective, descriptive cohort study of malignant wound characteristics and wound care strategies in patients with breast cancer. Ostomy Wound Manag [Internet]. 2014 [cited 2017 Jan 10]; 60(6):38-48. Available from: http://www.o-wm.com/article/prospective-descriptive-cohort-study-malignant-wound-characteristics-wound-care-strategies-patients-breast-cancer
http://www.o-wm.com/article/prospective-...
)
|
To evaluate the use of various local care procedures and characteristics of malignant wounds |
Four-level scale:
0: Absent;1: Not offensive;
2: Offensive, but tolerable;
3: Offensive and intolerable |
Von Gruenigen VE, Coleman RL, Li AJ, Heard MC, Miller DS, Hemsell DL(1919 Von Gruenigen E, Coleman RL, Li AJ, Heard MC, Miller DS, Hemsell DL. Bacteriology and treatment of malodorous lower reproductive tract in gynecologic cancer patients. Obstet Gynecol [Internet]. 2000 [cited 2017 Jan 15]; 96(1):23-37. Available from: https://pdfs.journals.lww.com/greenjournal/2000/07000/Bacteriology_and_Treatment_of_Malodorous_Lower.6.pdf
https://pdfs.journals.lww.com/greenjourn...
)
|
To determine the bacteriology of lower genital tract cancers to guide potential treatment modalities and determine the impact of the treatment on quality of life |
| American Society for Testing and Materials |
Odor Intensity Referencing Scale (OIRS):
0: Odorless;
1: Almost imperceptible;
2: Slight;
3: Moderate;
4: Strong;
5: Very strong |
Shirasu M, Nagai S, Hayashi R, Ochiai A, Touhara K(2424 Shirasu M, Nagai S, Hayashi R, Ochiai A, Touhara K. Dimethyl trisulfide as a characteristic odor associated with fungating cancer wounds. Biosci Biotechnol Biochem [Internet]. 2009 [cited 2017 Jan 15]; 73(9):2117-20. Available from: https://www.jstage.jst.go.jp/article/bbb/73/9/73_90229/_pdf/-char/en
https://www.jstage.jst.go.jp/article/bbb...
)
|
To evaluate the intensity and quality of the odor emitted by neoplastic wounds |
| American Nursing Association (ANA) |
Result indicator associated to the objective: healing of wound by second intention:
1: Intense;
2: Substantial;
3: Moderate;
4: Scarce;
5: None |
Romero-Collado A(2121 Romero-Collado A. [Home nursing care of a woman with a malignant wound in a primary health care setting]. Enferm Clin [Internet]. 2012 [cited 2017 Jan 10]; 22(2):100-4. Available from: http://www.elsevier.es/es-revista-enfermeria-clinica-35-pdf-S1130862111001446-S300 Spanish.
http://www.elsevier.es/es-revista-enferm...
)
|
To describe the case of a patient with neoplastic wound |
| - |
Visual analogue scale of 10 points:
0: Odorless;
1-4: Mild odor;
5-8: Moderate odor;
9-10: Grave odor |
Kalinski C, Schnepf M, Laboy D, Hernandez L, Nusbaum J, McGrinder B et al.(1818 Kalinski C, Schnepf M, Laboy D, Hernandez L, Nusbaum J, McGrinder B, et al. Effectiveness of a topical formulation containing metronidazole for wound odor and exudate control. Wounds [Internet]. 2005 [cited 2017 Jan 15]; 17(4):84-90. Available from: http://www.woundsresearch.com/article/3950
http://www.woundsresearch.com/article/39...
)
|
To evaluate the effectiveness of 0.75% metronidazole in odor eradication of patients with tumor wounds |
| - |
Visual analogue scale of 10 points:
0 to 10 (where 0 = Absence of odor) |
Bower M, Stein R, Evans TRJ, Hedley A, Pert P, Coombes RC(1616 Bower M, Stein R, Evans TRJ, Hedley A, Pert P, Coombes RC. A double-blind study of the efficacy of metronidazole gel in the treatment of malodorous fungating tumours. Eur J Cancer [Internet]. 1992[cited 2017 Jan 15];28A(4-5):888-9. Available from: http://www.ejcancer.com/article/0959-8049(92)90142-O/pdf
http://www.ejcancer.com/article/0959-804...
)
|
To evaluate the effectiveness of metronidazole gel in palliation of offensive odor of fungal tumors |
