title: Wound care in the geriatric client.
abstract: 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.
authors: Geriatrics and Extended Care Programs, VA Puget Sound Health Care Systems, American Lake Division, Tacoma, WA, USA.
authors: Steve
authors: S
authors: Gist
authors: Iris
authors: I
authors: Tio-Matos
authors: Sharon
authors: S
authors: Falzgraf
authors: Shirley
authors: S
authors: Cameron
authors: Michael
authors: M
authors: Beebe
mesh_terms: D000368:Aged; D001458:Bandages / Q000382:microbiology; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014945:Wound Healing / Q000187:drug effects* / Q000502:physiology