Help with Sarcoma Wound - Warning, graphic description! - page 2

I'm am running out of ideas and could use some new inspriation... I have a client with radiation induced spindle cell sarcoma from a previous mastectomy and breast cancer treatment. The sarcoma has... Read More

  1. by   Em1995
    I had a patient with a similar wound and close to the same scenario.She was insistent on staying home.
    She did bleed out from this wound, but it was peaceful and painless for she and the family. I encouraged them to get a red or maroon flannel sheet set. They were able to get several! We also made sure we had red towels. I got a "bleed-out" kit/orders in place asap and kept this in the home. We use IM morphine and valium (and you can also use SL ativan) as part of the bleed-out kit. I can tell you from my experience with several of these kinds of wounds that they go rapidly.So you need to be ready in a split second.
    Unfortunately, my next door neighbor(and one of my best friends) is looking at the same. She has fought a very long battle with breast cancer and it is now all over her chest wall and rapidly spreading. I am going to have a difficult time handling this. She has not yet decided upon hospice. But, it's only a matter of time. I'll certainly be there for my friend to help her walk over the veil.
  2. by   interleukin

    You are, indeed, an excellent and compassionate friend.

    We'd all be blessed to have a neighbor like you.
  3. by   Second
    We have had two patients with this type of wound in the last month or so. While superficial bleeding can be stopped in a variety of ways, it seems that nothing can prevent a bleed out if the tumor reaches a major vessel. I agree that it is helpful to prepare the patient and family for this possibilty. It is in fact quick and painless and the one's who suffer most are people caring for the patient who are unprepared for this. For bleeding from superficial vessels we sometimes spray Afrin directly on the bleeding areas with very good results. THis is something the patient can have at bedside. My patient also had a large deep wound which she prefered to keep open to air, partly because dressing changes were painful and the dressings she was using were sticking. Also wrapping the wound was awkward. WE ended up cleansing the wound with saline, spraying with Afrin, applying calcium alginate and ABD's. The patient came up with the idea of wearing a sleevless men's tee shirt instead of wrapping, THis held the dressing in place. The difficult aspect of these wounds is that they really don't seem to heal, just grow worse with the tumor's growth. We also administered morphine prior to dressing changes, and this helped the patient very much.