Atención integral a un varón con una úlcera neoplásica, que no va a cicatrizar, en el ámbito de la atención primaria de la salud: caso clínico

The role of home care in Primary Care is essential in the chronically ill patient at the end of their life. In this article, the case is presented of a 90 year old man who went to the Primary Care nursing with a malignant wound, which was diagnosed as squamous cell carcinoma, with possible lung and liver metastases. The patient was completely independent, but since the diagnosis and subsequent complications, his independence decreased, and he was included in the Primary Care home care program. He underwent radiotherapy, improving the state of the ulcer, but due to the poor prognosis and the deterioration of the patient, it was decided to treat him symptomatically. By means of a nursing care plan, pain was controlled, the constipation associated with morphine was avoided, and the use of products for moist wound healing for exudate management, pain was reduced, and the family was encouraged to help him change the dressing, among others. Comprehensive care and support of the patient's family, and an adequate nursing care plan, as well as the resources required to treat the wound, allowed to offer some comfort care to the patient, who, despite having a malignant wound that would not heal, needs the same care as any other wound.