Chronic wound treatment in old age under supervision of a geriatrician

Česká verzia

Authors: I. Doleželová; V. Šípková; V. Tomečková
Authors place of work: Primářka: MUDr. Ivana Doleželová ; Geriatrické oddělení ; Fakultní Thomayerova nemocnice s poliklinikou, Praha ; Ambulance pro hojení ran
Published in the journal: Prakt. Lék. 2009; 89(1): 33-39
Category: Case Report

Summary

Chronic wounds are caused by heterogeneous factors. In old age the formation of chronic wounds and their healing are further modified by others factors, such as higher age, polymorbidity and the treatment of infected wounds (polypragmasia). The formation of chronic wounds makes itself more felt in old age rather than in middle age because of skin ageing, immunosenescence, vessel’s ageing and malnutrition. All these factors deteriorate skin quality and they make the skin less resistant to infection. A chronic wound is both a physical and psychological load for seniors. It is also a significant stress factor that induces anxiety and depression, thereby impairing the senior’s cognitive sufficiency and ability. The patient with a chronic wound remains in social isolation, which assists anxious depression and cognitive impairment. Case reports compare chronic wound formation, healing and treatment intervention in two patients with different ages, cognitive abilities, with different nutrition scores and mobility.

Key words:
chronic wound, physiological ageing, immunosenescence, cognitive dysfunction, disability.

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