Cuidados de la piel

The development of palliative care in the last decade has improved the management of typical situations such as pain. In parallel, in other alterations, which may be less important a priori but which can negatively affect the patient’s quality of life, the therapeutic approach has been modified, providing new alternatives to health professionals, with positive results. This is the case of some cutaneous alterations such as pruritus, for which drugs such as paroxetine, ondansetron and opioid antagonists, as well as other drugs not previously used for this alteration, are available. In addition, the therapeutic approach to pressure ulcers has been modified by the multidisciplinary approach and the development of specific products. The present article also reviews lymphedema, fistulas, and tumoral ulcers; these alterations can have important psychological effects and lead to social isolation if not appropriately treated.