{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:53:46Z","timestamp":1777935226383,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:p>Wounds are a common and burdensome problem for patients with serious illness receiving palliative care and hospice services. Declining mobility, functional impairment, malnutrition, progression of underlying disease, and age-related skin changes all increase risk. Wound management can therefore be challenging for clinicians, patients, and caregivers. Symptoms such as pain, odor, drainage, functional limitations, and psychological distress can substantially worsen suffering. Optimal care requires an interdisciplinary approach that considers the patient\u2019s underlying illness, prognosis, and goals of care. Palliative care clinicians are well-positioned to reduce this distress and improve comfort through goal-concordant wound-care strategies. Given the high prevalence of wounds in palliative care populations and the need for skilled, patient-centered management, we convened a panel of palliative care clinicians, geriatricians, geropsychologists, and wound-care specialists to identify core principles and practical strategies for supporting patients with wounds. In this article, we outline key tips for assessing and managing wounds, including understanding prognosis and goals of care, evaluating care settings, tailoring management to the underlying disease process, and addressing symptoms such as pain, odor, and psychosocial distress. A thoughtful, interdisciplinary approach is essential to reduce the physical and emotional burden wounds place on patients and caregivers.<\/jats:p>","DOI":"10.1177\/10966218261436630","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T05:53:51Z","timestamp":1774936431000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Top Ten Tips Palliative Care Clinicians Should Know About Wound Care"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6423-3087","authenticated-orcid":false,"given":"Nicole","family":"Dussault","sequence":"first","affiliation":[{"name":"Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared","family":"Morphew","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Nwagwu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Gatta","sequence":"additional","affiliation":[{"name":"Section of Palliative Medicine, Division of Internal Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Richardson","sequence":"additional","affiliation":[{"name":"Duke University Medical Center, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Payne","sequence":"additional","affiliation":[{"name":"Duke University Medical Center, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Foy","family":"White-Chu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Oregon Health and Science University, Portland, Oregon, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidiette","family":"Wilson","sequence":"additional","affiliation":[{"name":"UNC Medical Center, Chapel Hill, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Dalton","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Winstead-Derlega","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Moab Regional Hospital, Moab, Utah, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Ramos","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher A.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics and Palliative Care, Duke University School of Medicine, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2023.0150"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2009.05.014"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000429"},{"issue":"5","key":"e_1_3_2_5_1","first-page":"24","article-title":"General principles and approaches to wound prevention and care at end of life: An overview","volume":"58","author":"Langemo D","year":"2012","unstructured":"4.Langemo D. General principles and approaches to wound prevention and care at end of life: An overview. Ostomy Wound Manage 2012;58(5):24\u201326, 28, 30 passim.","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00379.x"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.2174\/1389201023378283"},{"key":"e_1_3_2_8_1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1046\/j.1524-475X.11.s2.1.x","article-title":"Wound bed preparation: A systematic approach to wound management","volume":"11","author":"Schultz GS","year":"2003","unstructured":"7.Schultz GS, , Sibbald RG, , Falanga V, et al. Wound bed preparation: A systematic approach to wound management. Wound Repair Regen 2003;11 Suppl 1:S1\u2013S28.","journal-title":"Wound Repair Regen"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000225430.42531.c2"},{"key":"e_1_3_2_10_1","volume-title":"Clinical staging and general management of pressure-induced skin and soft tissue injury","author":"Berlowitz D","year":"2026","unstructured":"9.Berlowitz D. Clinical staging and general management of pressure-induced skin and soft tissue injury. Up to Date; 2026."},{"key":"e_1_3_2_11_1","volume-title":"Lower extremity peripheral artery disease: Clinical features and diagnosis","author":"Neschis DG","year":"2026","unstructured":"10.Neschis DG, , Golden MA. Lower extremity peripheral artery disease: Clinical features and diagnosis. Up to Date; 2026."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17177"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/sbmj.0604140"},{"key":"e_1_3_2_14_1","volume-title":"Overview of management of diabetes-related foot disease","author":"Armstrong DG","year":"2026","unstructured":"13.Armstrong DG, , de Asla RJ. Overview of management of diabetes-related foot disease. Up to Date; 2026."},{"key":"e_1_3_2_15_1","volume-title":"Evaluation and management of chronic venous insufficiency including venous leg ulcer","author":"Fukaya E","year":"2026","unstructured":"14.Fukaya E, , O\u2019Banion LA, , Kiguchi M, et al. Evaluation and management of chronic venous insufficiency including venous leg ulcer. Up to Date; 2026."},{"key":"e_1_3_2_16_1","volume-title":"Clinical Assessment of chronic wounds","author":"Armstrong DG","year":"2019","unstructured":"15.Armstrong DG, , Meyr AJ. Clinical Assessment of chronic wounds. Up to Date; 2019."},{"key":"e_1_3_2_17_1","volume-title":"Overview of the care of adult patients with nonhealable wounds","author":"Oropallo A","year":"2026","unstructured":"16.Oropallo A. Overview of the care of adult patients with nonhealable wounds. Up to Date; 2026."},{"key":"e_1_3_2_18_1","volume-title":"Basic principles of wound management","author":"Armstrong DG","year":"2022","unstructured":"17.Armstrong DG, , Meyr AJ. Basic principles of wound management. Up to Date; 2022."},{"key":"e_1_3_2_19_1","volume-title":"StatPearls","author":"Manna B","year":"2025","unstructured":"18.Manna B, , Nahirniak P, , Morrison CA. Wound debridement. In: StatPearls. StatPearls Publishing: Treasure Island, FL; 2025. Available from: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK507882\/"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2007.08.048"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.9.285"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2021.02.006"},{"key":"e_1_3_2_23_1","volume-title":"Wound, Ostomy and Continence Nurses Society Core Curriculum: Continence Management","author":"Ermer-Seltun J","year":"2021","unstructured":"22.Ermer-Seltun J, , Engberg S. Wound, Ostomy and Continence Nurses Society Core Curriculum: Continence Management. Lippincott Williams & Wilkins; 2021. Available from: https:\/\/www.wolterskluwer.com\/en\/solutions\/ovid\/wound-ostomy-and-continence-nurses-society-core-curriculum-continence-management-13776"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000321"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2015.21.5.225"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.05.068"},{"key":"e_1_3_2_27_1","unstructured":"26.O\u2019Meara S Cullum N Nelson EA et al. Compression for venous leg ulcers\u2014O\u2019Meara S\u20142012. Cochrane Library. Available from: https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD000265.pub3\/full\/hu [Last accessed: November19 2025]."},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2018.3281"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.3845"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000460"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e318202c274"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000364940.46532.9b"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2005.10.Sup1.17627"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2000.11.15.11.46.c2950"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000001046"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.303849"},{"issue":"3","key":"e_1_3_2_37_1","first-page":"159","article-title":"Chronic wounds: Evaluation and management","volume":"101","author":"Bowers S","year":"2020","unstructured":"36.Bowers S, , Franco E. Chronic wounds: Evaluation and management. Am Fam Physician 2020;101(3):159\u2013166.","journal-title":"Am Fam Physician"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02307.x"},{"key":"e_1_3_2_39_1","first-page":"16","article-title":"Pressure ulcer pain: A systematic literature review and national pressure ulcer advisory panel white paper","volume":"55","author":"Pieper B","year":"2009","unstructured":"38.Pieper B, , Langemo D, , Cuddigan J. Pressure ulcer pain: A systematic literature review and national pressure ulcer advisory panel white paper. Ostomy Wound Manage 2009;55:16.","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200509000-00002"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000363502.84737.c8"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001177.pub3"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.06.007"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2004.10.002"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(03)00140-4"},{"key":"e_1_3_2_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(98)00140-7"},{"key":"e_1_3_2_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.08.011"},{"key":"e_1_3_2_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00312.x"},{"key":"e_1_3_2_49_1","first-page":"327","volume-title":"UHMS Hyperbaric Oxygen Therapy Indications","author":"Bosco G","year":"2019","unstructured":"48.Bosco G, , Rizzato A, , Camporesi E. Chapter 15 Mechanisms of Action of Hyperbaric Oxygen Therapy. In: UHMS Hyperbaric Oxygen Therapy Indications. (Moon RE., eds.) Best Publishing co: North Palm Beach, Florida; 2019; p. 327."},{"key":"e_1_3_2_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(00)01515-7"},{"key":"e_1_3_2_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12433"},{"key":"e_1_3_2_52_1","doi-asserted-by":"publisher","DOI":"10.2147\/CWCMR.S124917"},{"key":"e_1_3_2_53_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2012.21.2.53"},{"key":"e_1_3_2_54_1","first-page":"6","article-title":"Optimising quality of life for people with non-healing wounds","volume":"9","author":"Woo K","year":"2018","unstructured":"53.Woo K, , Santos VLCG, , Alam T. Optimising quality of life for people with non-healing wounds. Wounds Int 2018;9:6\u201314.","journal-title":"Wounds Int"},{"key":"e_1_3_2_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200412000-00006"},{"key":"e_1_3_2_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12193"},{"key":"e_1_3_2_57_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000553112.55505.5f"},{"key":"e_1_3_2_58_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000563"},{"key":"e_1_3_2_59_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319846023"},{"key":"e_1_3_2_60_1","unstructured":"59.Haesler E. Prevention and treatment of pressure ulcers\/injuries: Clinical practice guideline : The international guideline. 2019. Available from: https:\/\/internationalguideline.com\/2019"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261436630","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261436630","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261436630","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:49:46Z","timestamp":1777690186000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261436630"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,30]]},"references-count":59,"alternative-id":["10.1177\/10966218261436630"],"URL":"https:\/\/doi.org\/10.1177\/10966218261436630","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,30]]},"article-number":"10966218261436630"}}