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fungating tumors, malignant melanoma, pressure ulcers, skin cancer, wounds



  1. Walsh, Anne F. MSN, ANP-BC, ACHPN, CWOCN
  2. Bradley, Marianne MSN, CNS, CWOCN
  3. Cavallito, Kim FNP-BC, CWCN


People with advanced disease often face many distressing symptoms. These symptoms can be further compounded and complicated by the presence of a wound or wounds. This article presents a case involving a patient being cared for at home with fungating tumors secondary to stage IV cutaneous malignant melanoma and pressure ulcers. The goal of care was to offer symptom management options for the distressing symptoms that he and his family faced with regard to these wounds: pain, odor, bleeding, and excessive drainage.