Clinical Nurse Specialist in Wound Care, IRCCS Bambino Gesù Children's Hospital, Center of Excellence of Nursing Scholarship, Rome, Italy.
Clinical Nurse Specialist in Wound Care, Independent Tissue Viability Consultant, Rome, Italy.
Br J Community Nurs. 2021 Mar 1;26(Sup3):S6-S13. doi: 10.12968/bjcn.2021.26.Sup3.S6.
Dermatoporosis is a chronic cutaneous insufficiency/fragility syndrome with a high prevalence in older adults. Dermatoporotic skin becomes thin and fragile and tends to tear. It may lead to deep dissecting haematomas (DDHs) as a final stage of dermatoporosis, which is a clinical emergency. Management can be challenging, as patients with lower-limb haematomas are frequently older and affected by multiple comorbidities, or are probably on medications that negatively influence wound healing. This article describes the essential role of nurses in prevention, early recognition and wound management of DDHs in patients with dermatoporosis.
皮肤疏松症是一种慢性皮肤不足/脆弱综合征,在老年人中发病率很高。皮肤疏松症患者的皮肤变得薄而脆弱,容易撕裂。它可能导致深部解剖性血肿(DDH)作为皮肤疏松症的最后阶段,这是一种临床急症。由于下肢血肿患者通常年龄较大,且受多种合并症影响,或者可能正在服用影响伤口愈合的药物,因此管理具有挑战性。本文描述了护士在预防、早期识别和皮肤疏松症患者 DDH 伤口管理中的重要作用。