Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Under what circumstance should wound care goals focus on comfort?

1. When underlying pathology can be corrected

2. In cases of limited life expectancy

3. When there is a high risk of infection

4. For patients with significant ability to heal

The correct answer is: In cases of limited life expectancy

Wound care goals that focus on comfort are particularly relevant in situations where there is a limited life expectancy. In these cases, the prioritization shifts from aggressive treatment aimed at healing the wound to ensuring that the patient's quality of life is maintained as much as possible. The focus on comfort measures reflects an understanding that the primary aim is to alleviate pain, manage symptoms, and support the patient's overall well-being during the end stage of life. When addressing wounds in terminal or palliative care situations, interventions may be tailored to minimize discomfort rather than to promote healing, which might not be achievable or beneficial in the long term. This holistic approach acknowledges the patient's circumstances and directs resources appropriately toward comfort-oriented care.