Nursing care of elderly patients with pressure sores.doc

Nursing care of elderly patients with pressure sores [Keywords:] pressure sores in elderly patients Pressure ulcers is due to local soft tissue remain under pressure, hemodynamic changes, leading to tissue, ischemia, hypoxia, nutrient metabolism occurred degeneration, necrosis of the pathological process [1]. Predisposing factors in elderly patients and due to their own the impact of a variety of underlying diseases, and its high incidence of pressure ulcers, pressure ulcers to improve elderly patients with quality of care, now admitted to our hospital from 2005-2007, 60 Years Old 32 patient care characteristics of pressure ulcers are summarized below. 1 Clinical data 1.1 General Information 32 cases of elderly patients, 17 males and 15 females, aged 62 to 85 years (mean 68.8 + -8.8) years. 1.2 The reasons for pressure sores Traffic accident in 5 cases, falls in 8 cases, 10 cases of cerebral vascular accident, chronic obstructive pulmonary disease with pulmonary heart disease in 3 patients. Cured 20 cases, 6 cases were discharged. 2 Care 2.1 Psychological care Pressure ulcers in this group are elderly patients, due to compensatory tissue repair in elderly patients is poor, a longer course of treatment after admission, pressure sores heal slowly. Which patients and their families are often anxious and sad, on the primary disease and secondary lack of confidence in the treatment of pressure ulcers. We first do the work of family members, indicating that the disease outcome and prognosis, and patients have been cured by example to help them build confidence. 2.2 Diet Care Body protein breakdown and damage after the loss of increased nitrogen and protein reserves decrease. The body there was a series of post-traumatic endocrine and metabolic changes, leading to high consumption of the body material. Undernourished patients may delay wound healing, reducing immunity, muscle tension, etc. . We are to formulate a structure according to