Ischemic Ulcers and Geriatric Skin Care

Lower-extremity ulcers deriving from ischemia, venous, and neuropathic disease are common conditions in long-term care (LTC). Eighteen percent of adults over the age of 40 possess either ischemic disease or neuropathic disease; this prevalance doubles in residents with diabetes. Older residents are at higher risk for ulceration, osteomyelitis, and amputation. Management of lower-extremity ulcers in LTC requires different considerations than those in a hospital or ambulatory setting, since frailty and functional status typically is more of a concern in LTC. Patient compliance, comorbid medical problems, and nutrition issues are important components of providing adequate wound care for older adults. Nursing care in LTC provides better compliance with very specific and often complicated wound care management. This article by Paul Takahashi, MD, reviews ischemic ulcers, venous ulcers, and neuropathic ulcers, with an emphasis on appropriate wound-care treatment. Read the full article here>>

If you like this article, you might also like these other articles about wound care technology, common geriatric skin issues, and more at Annals of Long-Term Care:

Wound Care Technologies: Emerging Evidence for Appropriate Use in Long-Term Care

Common Skin Conditions in Geriatric Dermatology


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