Abordaje y manejo de colostomía como tratamiento de Gangrena de Fournier / No disponible

Se presenta un caso de un paciente con Gangrena de Fournier. Como consecuencia de la dificultad de aislar la cura de las heces y la imposibilidad de poner una sonda rectal para canalizar su salida, se decide hacer colostomía. No terminan ahí las complicaciones: presenta una rotura del estoma con salida de material fecal al abdomen, que precisa de nueva cirugía para repararlo. Infección de herida quirúrgica precisando drenado y curas; dehiscencia del estoma. Sin cuidador principal es primordial la educación sanitaria para que, en el momento del alta, el propio paciente realice un buen manejo del cuidado del estoma. Gracias al plan de cuidados, y mediante una valoración según patrones funcionales de Marjory Gordon, se evitan complicaciones y, las que surgen, se detectan precozmente. De los patrones alterados se realiza el plan de cuidados con la taxonomía NANDA, NOC, NIC

No disponible

Valoración antropométrica e ingesta de vitaminas de un grupo de ancianos institucionalizados de la provincia de León (España) / Anthropometric assessment and vitamin intake by a group of elderly institucionalized individuals in the province of Leon (Spain)

Introducción: En la población anciana las deficiencias nutricionales de micronutrientes son muy frecuentes, constituyendo un factor importante en el mantenimiento y restauración de la salud y calidad de vida. Objetivo: Valoración antropométrica de un colectivo de ancianos y estimación de la ingesta dietética de vitaminas. Material y métodos: En el estudio participaron 124 ancianos (60 hombres y 64 mujeres) con edades comprendidas entre los 65 y 98 años, procedentes de cinco instituciones para ancianos de la provincia de León. Se realizó una valoración antropométrica y un control de la ingesta de alimentos durante siete días por el método de pesada precisa. Los contenidos en vitaminas se calcularon a partir de las tablas de composición de alimentos españoles y se compararon con las recomendaciones dietéticas para la población española mayor de 65 años. Resultados: El índice de masa corporal (IMC) fue similar en hombres (27,5 ñ 4,2 kg/cm2) y mujeres (28,1 ñ 5,9 kg/cm2), no apreciándose diferencias significativas entre ellos aunque existe una alta prevalencia de obesidad (IMC > 30 kg/m2) en el colectivo estudiado, tanto en mujeres (41 per cent) como en hombres (28 per cent). Con respecto a la ingesta de vitaminas, el contenido medio de tiamina, niacina y vitamina C de la dieta, cubren las ingestas recomendadas del 100 per cent de la población estudiada, en ambos géneros. Sin embargo, en el caso del ácido fólico, vitamina A, riboflavina y vitamina B12, a pesar de que la ingesta media cubre los requerimientos, aparecen porcentajes importantes de población con un ingesta inadecuada. Para el resto de vitaminas (vitamina B6, vitamina D y vitamina E), la situación es muy desfavorable, ya que prácticamente toda la muestra presenta cifras de ingestas muy inferiores a las recomendadas (93,5 per cent vs 67,8 per cent para B6, 84,5 per cent vs 84,6 per cent para vitamina D, y 88,3 per cent vs 92,2 per cent para vitamina E, para hombres y mujeres respectivamente) (AU)

Introduction: Nutritional deficiencies of micronutrients in elderly people are frequent, and therefore this constitutes a main aspect in the maintenance and the restoration of health and well-being. Aim: The anthropometric assessment of a population of elderly people and the estimation of the dietetic intake of vitamins. Material and methods: The sample of the survey was composed of 124 elderly persons (60 males and 64 females), aged between 65 and 98, who were living in five institutions for old people in the province of Leon. An anthropometric assessment was made as well as a record of food intake throughout 7 days determined by "the precise weighting method". The contents in vitamin were calculated from the Spanish Food Composition Tables and they were compared to the dietetic recommendations for Spanish population older than 65 years old. Results: The Body Mass Index (BMI) was similar in men (27.5 ± 4.2 kg/m2) and in women (28.1 ± 5.9 kg/m2) with no significant differences between them, although there is a high prevalence of obesity (BMI > 30 kg/m2) in the studied population, both in females (41%) and in males (28%). Regarding the vitamin intake, the mean dietetic content of thiamine, niacin and vitamin C supplies the 100% of the recommended intake of the population in study in both sexes. However, in the case of folic acid, vitamin A, riboflavin and vitamin B12, despite the mean intake supplies the recommendations, there are important percentages of population who have an inadequate intake. As regards the rest of the vitamins (vitamin B6, vitamin D and vitamin E), the situation in very unsuitable because almost the whole sample shows lower amount of intakes than the recommended values (93.5% vs 67.8% for vitamin B6, 84.5% vs 84,6% for vitamin D, and 88.3% vs 92.2% for vitamin E, for men and women, respectively) (AU)

[Anthropometric assessment and vitamin intake by a group of elderly institucionalized individuals in the province of Leon (Spain)]. / Valoración antropométrica e ingesta de vitaminas de un grupo de ancianos institucionalizados de la provincia de León (España).

INTRODUCTION: Nutritional deficiencies of micronutrients in elderly people are frequent, and therefore this constitutes a main aspect in the maintenance and the restoration of health and well-being. AIM: The anthropometric assessment of a population of elderly people and the estimation of the dietetic intake of vitamins. MATERIAL AND METHODS: The sample of the survey was composed of 124 elderly persons (60 males and 64 females), aged between 65 and 98, who were living in five institutions for old people in the province of Leon. An anthropometric assessment was made as well as a record of food intake throughout 7 days determined by "the precise weighting method". The contents in vitamin were calculated from the Spanish Food Composition Tables and they were compared to the dietetic recommendations for Spanish population older than 65 years old. RESULTS: The Body Mass Index (BMI) was similar in men (27.5 +/- 4.2 kg/m2) and in women (28.1 +/- 5.9 kg/m2) with no significant differences between them, although there is a high prevalence of obesity (BMI > 30 kg/m2) in the studied population, both in females (41%) and in males (28%). Regarding the vitamin intake, the mean dietetic content of thiamine, niacin and vitamin C supplies the 100% of the recommended intake of the population in study in both sexes. However, in the case of folic acid, vitamin A, riboflavin and vitamin B12, despite the mean intake supplies the recommendations, there are important percentages of population who have an inadequate intake. As regards the rest of the vitamins (vitamin B6, vitamin D and vitamin E), the situation in very unsuitable because almost the whole sample shows lower amount of intakes than the recommended values (93.5% vs 67.8% for vitamin B6, 84.5% vs 84.6% for vitamin D, and 88.3% vs 92.2% for vitamin E, for men and women, respectively).