Cargando…
Wound care in the geriatric client
With our aging population, chronic diseases that compromise skin integrity such as diabetes, peripheral vascular disease (venous hypertension, arterial insufficiency) are becoming increasingly common. Skin breakdown with ulcer and chronic wound formation is a frequent consequence of these diseases....
Autores principales: | , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697592/ https://www.ncbi.nlm.nih.gov/pubmed/19554098 |
_version_ | 1782168341987721216 |
---|---|
author | Gist, Steve Tio-Matos, Iris Falzgraf, Sharon Cameron, Shirley Beebe, Michael |
author_facet | Gist, Steve Tio-Matos, Iris Falzgraf, Sharon Cameron, Shirley Beebe, Michael |
author_sort | Gist, Steve |
collection | PubMed |
description | With our aging population, chronic diseases that compromise skin integrity such as diabetes, peripheral vascular disease (venous hypertension, arterial insufficiency) are becoming increasingly common. Skin breakdown with ulcer and chronic wound formation is a frequent consequence of these diseases. Types of ulcers include pressure ulcers, vascular ulcers (arterial and venous hypertension), and neuropathic ulcers. Treatment of these ulcers involves recognizing the four stages of healing: coagulation, inflammation, proliferation, and maturation. Chronic wounds are frequently stalled in the inflammatory stage. Moving past the inflammation stage requires considering the bacterial burden, necrotic tissue, and moisture balance of the wound being treated. Bacterial overgrowth or infection needs to be treated with topical or systemic agents. In most cases, necrotic tissue needs to be debrided and moisture balance needs to be addressed by wetting dry tissue and drying wet tissue. Special dressings have been developed to accomplish these tasks. They include films, hydrocolloids, hydrogel dressings, foams, hydrofibers, composite and alginate dressings. |
format | Text |
id | pubmed-2697592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-26975922009-06-23 Wound care in the geriatric client Gist, Steve Tio-Matos, Iris Falzgraf, Sharon Cameron, Shirley Beebe, Michael Clin Interv Aging Review With our aging population, chronic diseases that compromise skin integrity such as diabetes, peripheral vascular disease (venous hypertension, arterial insufficiency) are becoming increasingly common. Skin breakdown with ulcer and chronic wound formation is a frequent consequence of these diseases. Types of ulcers include pressure ulcers, vascular ulcers (arterial and venous hypertension), and neuropathic ulcers. Treatment of these ulcers involves recognizing the four stages of healing: coagulation, inflammation, proliferation, and maturation. Chronic wounds are frequently stalled in the inflammatory stage. Moving past the inflammation stage requires considering the bacterial burden, necrotic tissue, and moisture balance of the wound being treated. Bacterial overgrowth or infection needs to be treated with topical or systemic agents. In most cases, necrotic tissue needs to be debrided and moisture balance needs to be addressed by wetting dry tissue and drying wet tissue. Special dressings have been developed to accomplish these tasks. They include films, hydrocolloids, hydrogel dressings, foams, hydrofibers, composite and alginate dressings. Dove Medical Press 2009 2009-06-09 /pmc/articles/PMC2697592/ /pubmed/19554098 Text en © 2009 Gist et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Review Gist, Steve Tio-Matos, Iris Falzgraf, Sharon Cameron, Shirley Beebe, Michael Wound care in the geriatric client |
title | Wound care in the geriatric client |
title_full | Wound care in the geriatric client |
title_fullStr | Wound care in the geriatric client |
title_full_unstemmed | Wound care in the geriatric client |
title_short | Wound care in the geriatric client |
title_sort | wound care in the geriatric client |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697592/ https://www.ncbi.nlm.nih.gov/pubmed/19554098 |
work_keys_str_mv | AT giststeve woundcareinthegeriatricclient AT tiomatosiris woundcareinthegeriatricclient AT falzgrafsharon woundcareinthegeriatricclient AT cameronshirley woundcareinthegeriatricclient AT beebemichael woundcareinthegeriatricclient |