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Nurs Clin North Am ; 52(3): 405-417, 2017 09.
Article in English | MEDLINE | ID: mdl-28779822

ABSTRACT

Altered skin integrity increases the chance of infection, impaired mobility, and decreased function and may result in the loss of limb or, sometimes, life. Skin is affected by both intrinsic and extrinsic factors. Intrinsic factors can include altered nutritional status, vascular disease issues, and diabetes. Extrinsic factors include falls, accidents, pressure, immobility, and surgical procedures. Ensuring skin integrity in the elderly requires a team approach and includes the individual, caregivers, and clinicians. The twenty-first century clinician has several online, evidence-based tools to assist with optimal treatment plans. Understanding best practices in addressing skin integrity issues can promote positive outcomes with the elderly.


Subject(s)
Pressure Ulcer/prevention & control , Skin/physiopathology , Wounds and Injuries/prevention & control , Dermatologic Agents/therapeutic use , Geriatric Nursing/methods , Humans , Nurse's Role , Nutritional Status , Pressure Ulcer/etiology , Pressure Ulcer/nursing , Risk Factors , Skin/anatomy & histology , Skin Care/methods , Skin Care/nursing , Wounds and Injuries/etiology
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