Be careful about the elderly!Chronic wounds will silently hurt you

Recently, the Ministry of Medicine of the East Hospital of the Second People's Hospital of Kunming City took a diagnosis of an elderly patient. The pressure ulcers on the elderly had been ulcerated because they were not treated in time. On September 9th, Li Jiangyuan, the head of the senior medical department of the elderly medicine department of the hospital, reminded that the elderly should pay more attention to skin problems and chronic wounds.

"When the old man came to the doctor, the legs of the legs were covered by a layer of black crusts and black skin. These black skin were wrapped in necrotic tissue and pus under these black skin. The wounds were already very deep to see the bones, which belonged to the inseparable sores." Li Jiangyuan Garden. "Li Jiangyuan. It is said that chronic wounds will not immediately threaten the life of the elderly, but the long -lasting long -lasting years or even years or even years will not heal, which will seriously affect the recovery and quality of life of the patient's primary disease. It also brings heavy care and economy to the family. burden. If the wound continues to deteriorate and diffuses infection, it will cause deep tissue such as blood vessels, nerves, tendons, and bones, which may cause complications such as purulent and sepsis, and life -threatening.

With the acceleration process of population aging, the prevalence of various chronic diseases has increased year by year. The incidence of chronic wounds such as bedsores, diabetic feet, and chronic ulcers related. The transition is caused by multiple factors.

Chronic wounds usually refer to the form of anatomy and function through normal, orderly and timely repair processes, or have no healing after more than 1 month of treatment, and no healing tendency. Many people have no concept of chronic wounds. In fact, the common pressure sores in patients with long -term bed are one of the chronic wounds.

According to Li Jiangyuan, according to the "International Guide for Pressuri/Pressure Prevention and Treatment 2019", according to the degree of skin injury, pressure ulcers are divided into six levels. Among them, the degree of pressure sores in phase 1 is the lightest, and the pressure of the 4 phase of the 4th stage is relatively heavy. The complicated sores of the 4th phase 4 are irregular pressure sores and suspicious deep tissue injuries.

The elderly are prone to skin damage due to thin skin and dryness and dryness. In addition to the pressure ulcer, Li Jiangyuan had encountered an old man who had a laceration of skin wounds on the fence due to the irritability of the hospital. "There will be no major problems on the hands of young people on the fence, but the hands of the elderly are prone to subcutaneous hemorrhage, skin tear, etc." Li Jiangyuan said that compared with young people's skin, the elderly's skin is creative. It is more difficult to recover and need to take care and slowly recover. If the old man's wound has already occurred, anti -infective treatment must be performed first, and the carrion is removed. When the granulation grows, it will grow again and start healing.

Chronic wound care is a very professional subject category. It not only needs professional medical knowledge, but also sometimes requires psychological guidance, nutritional conditioning, and even multi -disciplinary consultation. In 2017, the Ministry of Medicine of the Second People's Hospital of Kunming City carried out chronic difficult wound diagnosis and treatment work, consisting of international wound therapists, wound preparation specialties, diabetes specialties, and other medical staff. Use the concept of wet wetness healing to reduce the pain of patients, promote wound repair, and shorten the healing time. Patients with chronic wounds such as pressure ulcers, diabetes ulcers, lower limb vein ulcers, as well as patients with incontinence dermatitis and mild burns provide specialist diagnosis and guidance.

Li Jiangyuan reminded that because the elderly feels down and the family members value insufficient attention, the skin chronic wound problems are easily overlooked, and the situation is often serious when the elderly come to the consultation. It is recommended that family members should pay more attention to the elderly, and the wounds will be visited in time, and early treatment can be cured faster. At the same time, it is necessary to attach importance to the nutritional problems of the elderly. Nutrition is not only the internal cause of pressure ulcers, but also affects the healing of pressure ulcers.

Source: Kunming Daily

Reporter: Zhang Xiaoli

Edit: Zhang Jie

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