needing some advise

New hospice pateint that was dx with imflamatory breast cancer and now has skin metastsis. Skin mets along her mastectomy incision line and now they are growing at a very rapid rate on her arm, and chest. She has no open areas currently but in the past has had an open area and had problems with flies. The flies seem to surround her, and this is distrubing to the patient and her family. Her arm from her mastectomy side is very swollen and painful. Pain is now under control with motrin, and duragesic patches. But I'm looking for help or ideas on what to do for her skin, especially if she develops another open lesion. Does anyone have any ideas?