Resilience in the process of care in patients with malignant tumor wounds: integrative review

Luiza de Lima Beretta, Mauro Leonardo Salvador Caldeira dos Santos, Willian Alves Dos Santos, Patrícia Claro Fuly, Lina Marcia Miguéis Berardinelli


Assistance to patients with tumor wounds is a complex task; resilience provides adaptability for handling in different contexts. The objective was to verify the resilience in the process of caring for patients with malignant tumor wounds. This is an integrative literature review carried out in the LILACS, MEDLINE, COCHRANE, CINAHL and SCOPUS (2003-2019) databases with the guiding question: How does resilience occur in the dynamics of care for patients with malignant tumor wounds? Seventeen scientific evidences were identified and three categories of discussion were elaborated: 1) Resilience of the patient with a malignant tumor wound; 2) Resilience of the family member and / or informal caregiver in the process of caring for patients with malignant tumor wounds; 3) Resilience of the multidisciplinary team in the process of caring for patients with malignant tumor wounds. It is concluded that the stigma, the change in body image, the unpredictability and uncontrolled odor and exudate and the constant evidence of having an incurable disease allow the practice of multiple coping strategies by the actors involved in the care, culminating in a better experience. Thus, psychosocial aspects must be considered in the practice of oncology nursing in the care of patients with malignant tumor wounds.


Palliative Care; Wounds and Injuries; Psychological resilience.


Alexander S. J. (2009). Malignant fungating wounds: key symptoms and psychosocial issues. Journal of wound care. 18(8):325-9.

Alexander SJ. (2010). An intense and unforgettable experience: the lived experience of malignant wounds from the perspectives of patients, caregivers and nurses. International Journal of Wound care;7(6):456-65.

Appleton L, Poole H, Wall C.(2018). Being in safe hands: Patients’ perceptions of how cancer services may support psychological well-being. Journal of Advanced Nursing; 74(7), 1531–1543

Chana N, Kennedy P, Chessell Z J. (2015). Nursing staffs’ emotional well-being and caring behaviours. Journal of Clinical Nursing; 24(19-20), 2835–2848.

Di Giacomo D. et al (2016) Breast cancer and psychological resilience among young women. J. Psychopathol: 3, 9001–9905.

Eicher M, Matzka M, Dubey C, White K. (2015). Resilience in adult cancer care: an integrative literature review. Oncol Nurs Forum; 42(1):E3–E16.

Engeli L, Moergeli H, Binder M, Drabe N, Meier C, Buechi S, Dummer R, Jenewein J. (2016). Resilience in patients and spouses faced with malignant melanoma. A qualitative longitudinal study. Eur J Cancer Care (Engl); 25(1):122–131.

EONS Recommendations for Care of Malignant Fungating Wounds. European Oncology Nursing Society (EONS); 2015.

Gibson S, Green J. (2013). Review of patients’ experiences with fungating wounds and associated quality of life. Journal of wound care; 22(5):265-75.

Gitterman A, Knight C. (2016). Promoting resilience through social work practice with groups: Implications for the practice and field curricula. Journal of Social Work Education; 52(4), 448–461.

Gozzo TO, Tahan FP, Andrade M, Nascimento TG, Prado MAS. (2014). Ocorrência e manejo de feridas neoplásicas em mulheres com câncer de mama avançado. Esc Anna Nery 2014; 18(2):270-6.

Haug S H, Danbolt L J, Kvigne K, De Marinis V. (2016). Older people with incurable cancer: existential meaning-making from a life-span perspective. Palliat Support Care; 14(1):20–32.

Horner H. (2017) Resilience. Journal of Pediatric Care; 31(3), 384–390.

Izydorczyk B, Rąba M, Sitnik-Warchulska K.(2018). Resiliency, self-esteem and attitude towards own body in women from early to late adulthood. Health Psychol. Rep;6.

Lazelle-Ali C. (2007). Psychological and physical care of malodorous fungating wounds. British Journal of Nursing; 16(Sup3), S16–S24.

Li Y, Qiao Y, Luan X, Li S, Wang K. (2019). Family resilience and psychological well-being among Chinese breast cancer survivors and their caregivers. European Journal of Cancer Care: 28 (2).

López‐Pina J A., Meseguer-Henarejos A. B., Gascón-Cánovas J. , Navarro-Villalba D. J., Sinclair V.G. , Wallston K. A. (2016). Measurement properties of the brief resilient coping scale in patients with systemic lupus erythematosus using Rasch analysis. Health and Quality of Life Outcomes;14 (128).

Palacio C, Krikorian A., Limonero J. T. (2017) The influence of psychological factors on the burden of caregivers of patients with advanced cancer: Resiliency and caregiver burden. Palliative & Supportive Care; 16(03), 269–277.

Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria: UAB/NTE/UFSM. Disponível em:

Piggin C. (2003). Malodorous fungating wounds: uncertain concepts underlying the management of social isolation. International Journal of Palliative nursing 2003; 9(5):216-221.

Probst S, Arber A, Faithfull S. (2013). Malignant fungating wounds: the meaning of living in an unbounded body. European Journal of Oncology Nursing; 17:38-45.

Probst S, Arber A, Trojan A, Faithfull S. (2012). Caring for a loved one with a malignant fungating wound. Support Care Cancer; 20(12):3065–70.

Sołtys M, Woźniewicz A. (2015). Resiliency and subjective health assessment. Moderating role of selected psychosocial variables. Health Psychol. Rep. 2015;4:137–145.

Tilley C, Lipson J, Ramos M. (2016). Palliative wound care for malignant fungating wounds: holistic considerations at enf-of-life. Nurs Clin N Am; 51(3):513-31

Waugh C E K, Ernestn H. (2015). A resilience framework for promoting stable remission from depression. Clinical Psychology Review. 2015; 4(1).:49-60.



  • There are currently no refbacks.

Base de Dados e Indexadores: Base, Diadorim,, DOI Crossref, Dialnet, Scholar Google, Redib, Doaj, Latindex, Redalyc, Portal de Periódicos CAPES

Research, Society and Development - ISSN 2525-3409

Licença Creative Commons
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional

Rua Irmã Ivone Drumond, 200 - Distrito Industrial II, Itabira - MG, 35903-087 (Brasil)