Management of malodour in palliative wound care

Palliative wounds arise from a myriad of underlying chronic conditions. Care of such wounds requires the skills and expertise of the multidisciplinary team in order to optimize the quality of life of the individual, manage symptoms and stabilize the wound. Malodour is cited as one of the most distressing symptoms of these wounds, is a complex phenomenon with multiple potential causes, and may signify infection or necrosis. Malodour can cause depression, social isolation, nausea, anorexia and, in some individuals, a gagging or vomiting reflex. This paper will explore the causes of malodour and current management strategies, with particular reference to palliative care wounds.