Seaman, S. (2006). Management of malignant fungating wounds in advanced cancer. Seminars in Oncology Nursing, 22, 185–193.

PURPOSE: To review an article from a non-peer-reviewed journal on the control of bleeding in malignant fungating wounds in advanced cancer

• Eight references in the article with reference to control of bleeding

• Gentle dressing removal of malignant wounds, using saline if the dressing adheres to the wound
• Use nonadherent dressings or moist wound products.
• Use direct pressure for 10–15 minutes when bleeding does occur; ice packs assist in control.
• Use hemostatic agents if bleeding does not stop (i.e., absorbable gelatin, collagen, alginate dressings).
• Gauze saturated with topical vasoconstrictors (i.e., epinephrine) are an option.
• Apply sucralfate paste as an option.

• Lack of evidence
• The journal is reputable but is not peer-reviewed.