Glenn Josephine
Post Acute Rehabilitation Unit, Kennedy Health System, Kennedy Health Care Center, 535 Egg Harbor Road, Sewell, NJ 08080, USA.
Ostomy Wound Manage. 2006 Apr;52(4):94-8.
Clinical management of a wound in a geriatric patient requires an understanding of age-related changes in the skin and the knowledge to make appropriate treatment choices. This case study describes clinical assessment and management of a traumatic hip wound in a 75-year-old patient. In addition to addressing his nutritional status by providing supplements, topical wound care preparations, including papain-urea and castor oil/balsam of Peru/trypsin, were used as a conservative approach to address debridement and periwound skin concerns. Extra vigilance is required to assess wounds in geriatric patients to determine proper wound treatment and achieve optimum results. Additional studies to evaluate optimal treatment strategies in the clinical management of traumatic wounds in the geriatric population are needed.
老年患者伤口的临床管理需要了解皮肤与年龄相关的变化，并具备做出适当治疗选择的知识。本病例研究描述了一名75岁患者创伤性髋部伤口的临床评估与管理。除了通过提供补充剂来改善其营养状况外，还使用了包括木瓜蛋白酶 - 尿素以及蓖麻油/秘鲁香脂/胰蛋白酶在内的局部伤口护理制剂，作为处理清创和伤口周围皮肤问题的保守方法。在评估老年患者的伤口时需要格外警惕，以确定合适的伤口治疗方法并取得最佳效果。还需要进行更多研究，以评估老年人群创伤性伤口临床管理中的最佳治疗策略。
