Wound care in the geriatric client

Steve Gist, Iris Tio-Matos, Sharon Falzgraf, Shirley Cameron, Michael BeebeGeriatrics and Extended Care, Programs, VA Puget Sound Health Care Systems, American Lake Division, Tacoma, WA, USAAbstract: With our aging population, chronic diseases that compromise skin integrity such as diabetes, periphe...

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Autores principales:	Steve Gist, Iris Tio-Matos, Sharon Falzgraf, Shirley Cameron, Michael Beebe
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	wound care pressure ulcers vascular ulcers diabetic ulcers debridement elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f58fb70eeade42b78e9171c9faf46b18
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spelling	oai:doaj.org-article:f58fb70eeade42b78e9171c9faf46b182021-12-02T06:29:04ZWound care in the geriatric client1178-1998https://doaj.org/article/f58fb70eeade42b78e9171c9faf46b182009-06-01T00:00:00Zhttps://www.dovepress.com/wound-care-in-the-geriatric-client-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Steve Gist, Iris Tio-Matos, Sharon Falzgraf, Shirley Cameron, Michael BeebeGeriatrics and Extended Care, Programs, VA Puget Sound Health Care Systems, American Lake Division, Tacoma, WA, USAAbstract: 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, hydro-fibers, composite and alginate dressings.Keywords: wound care, pressure ulcers, vascular ulcers, diabetic ulcers, debridement, elderlySteve GistIris Tio-MatosSharon FalzgrafShirley CameronMichael BeebeDove Medical Pressarticlewound carepressure ulcersvascular ulcersdiabetic ulcersdebridementelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 4, Pp 269-287 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	wound care pressure ulcers vascular ulcers diabetic ulcers debridement elderly Geriatrics RC952-954.6
spellingShingle	wound care pressure ulcers vascular ulcers diabetic ulcers debridement elderly Geriatrics RC952-954.6 Steve Gist Iris Tio-Matos Sharon Falzgraf Shirley Cameron Michael Beebe Wound care in the geriatric client
description	Steve Gist, Iris Tio-Matos, Sharon Falzgraf, Shirley Cameron, Michael BeebeGeriatrics and Extended Care, Programs, VA Puget Sound Health Care Systems, American Lake Division, Tacoma, WA, USAAbstract: 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, hydro-fibers, composite and alginate dressings.Keywords: wound care, pressure ulcers, vascular ulcers, diabetic ulcers, debridement, elderly
format	article
author	Steve Gist Iris Tio-Matos Sharon Falzgraf Shirley Cameron Michael Beebe
author_facet	Steve Gist Iris Tio-Matos Sharon Falzgraf Shirley Cameron Michael Beebe
author_sort	Steve Gist
title	Wound care in the geriatric client
title_short	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_sort	wound care in the geriatric client
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/f58fb70eeade42b78e9171c9faf46b18
work_keys_str_mv	AT stevegist woundcareinthegeriatricclient AT iristiomatos woundcareinthegeriatricclient AT sharonfalzgraf woundcareinthegeriatricclient AT shirleycameron woundcareinthegeriatricclient AT michaelbeebe woundcareinthegeriatricclient
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Wound care in the geriatric client

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