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1.
Clin Geriatr Med ; 40(3): 385-395, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38960532

RESUMEN

Pressure injuries are a common chronic wound in the older adult. Care of pressure injuries is an interprofessional effort and involves physicians, nurses, registered dieticians, rehabilitation therapists, and surgical subspecialties. Numerous treatment modalities exist but have varying evidence to substantiate their efficacy. All primary and other care providers, particularly geriatricians, need to be aware of current evidence-based prevention and treatment standards. When healing is not expected, palliative care should be considered to avoid futile procedures and preserve dignity and quality of life.


Asunto(s)
Úlcera por Presión , Humanos , Úlcera por Presión/terapia , Úlcera por Presión/prevención & control , Úlcera por Presión/etiología , Úlcera por Presión/diagnóstico , Anciano , Cicatrización de Heridas/fisiología , Cuidados Paliativos/métodos
3.
Clin Geriatr Med ; 40(3): 471-480, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38960538

RESUMEN

The treatment, maintenance, and suppression of infection in chronic wounds remain a challenge to all practitioners. From an infectious disease standpoint, knowing when a chronic wound has progressed from colonized to infected, when to use systemic antimicrobial therapy and when and how to culture such wounds can be daunting. With few standardized clinical guidelines for infections in chronic wounds, caring for them is an art form. However, there have been notable advances in the diagnosis, treatment, and management of infected wounds. This article will discuss the pathophysiology of infection in older adults, including specific infections such as cutaneous candidiasis, necrotizing soft tissue infection, osteomyelitis, and infections involving hardware.


Asunto(s)
Infección de Heridas , Humanos , Enfermedad Crónica , Infección de Heridas/microbiología , Infección de Heridas/terapia , Anciano , Osteomielitis/microbiología , Osteomielitis/terapia , Osteomielitis/diagnóstico , Cicatrización de Heridas/fisiología
5.
Adv Skin Wound Care ; 37(6): 292-296, 2024 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-38767420

RESUMEN

GENERAL PURPOSE: To review the management of a patient with a chemical burn from wet cement. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:1. Recognize the clinical presentation of a patient with a chemical burn from contact with wet cement.2. Describe features related to the pathophysiology of alkali burns from wet cement.3. Select the proper decontamination procedure after exposure to wet cement.4. Identify steps in the treatment of a patient with a chemical burn from contact with wet cement.


Alkali burn from wet cement is an often unrecognized and completely preventable chemical injury. The prevalence of cement burns is likely underestimated because of a lack of awareness and knowledge among both individuals who work with cement and healthcare providers. Chemical injuries have important differences compared with thermal burns: they are usually produced by longer exposure to noxious agents as opposed to short-term exposure that is quickly stopped. As a result, first aid approaches are different. Chemical burns from cement can be avoided with adequate skin and eye protection as well as immediate first aid if contact occurs. Manufacturers of bagged cement place warning notices on packaging, but these can be small and go unnoticed by consumers. Construction workers and amateur do-it-yourselfers should avoid direct contact with cement for any prolonged amount of time. Watertight boots, gloves, and clothing will prevent contact, and any accidental splash on exposed skin should be immediately washed away. Education and awareness of the consequences of cement burns are the best prevention.


Asunto(s)
Quemaduras Químicas , Humanos , Quemaduras Químicas/etiología , Quemaduras Químicas/terapia , Materiales de Construcción/efectos adversos , Descontaminación/métodos
6.
J Am Geriatr Soc ; 2023 Dec 29.
Artículo en Inglés | MEDLINE | ID: mdl-38158627
7.
J Am Geriatr Soc ; 2023 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-37682008
8.
J Am Geriatr Soc ; 2023 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-37458406
9.
J Am Geriatr Soc ; 71(3): 999, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-34921387
10.
J Am Geriatr Soc ; 70(10): 3047-3048, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35608358
12.
J Am Geriatr Soc ; 2022 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-35049065
13.
J Am Geriatr Soc ; 2022 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-35044680
14.
J Am Geriatr Soc ; 2022 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-35040488
15.
J Am Geriatr Soc ; 2022 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-35040489
16.
J Am Geriatr Soc ; 70(1): 308, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34796910
17.
J Am Geriatr Soc ; 70(3): 914-915, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-34825703
18.
J Am Geriatr Soc ; 70(2): 635, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34779512
20.
J Am Geriatr Soc ; 2021 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-34908166
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