静脉溃疡：管理中纳入老年友善 4M 的必要性。

Venous Leg Ulcers: The Need to Incorporate Age-Friendly 4M's in Management.

机构信息

Department of Family Medicine, Memorial Hermann Family Medicine Residency Program, 14023 Southwest Fwy, Sugar Land, TX 77478, USA.

Department of Geriatrics, Oregon Health & Science University, Portland VA Health Care System, 3710 SW US Veterans Hosp Road, Portland, OR 97239, USA; Department of Medicine, Oregon Health and Sciences University, Wound Healing Service, Portland VA Health Care System, Portland, Oregon, USA.

出版信息

Clin Geriatr Med. 2024 Aug;40(3):413-436. doi: 10.1016/j.cger.2023.12.009. Epub 2024 Feb 3.

DOI:10.1016/j.cger.2023.12.009

PMID:38960534

Abstract

Venous leg ulcers develop due to a complex set of conditions routed in lower extremity edema and inflammation. Even though older adults are disproportionally affected by these wounds, the guidelines discuss best practices without keeping in mind the age-friendly 4M's-what Matters Most, Mobility, Medications, and Mentation/Mood. This article reviews the management and treatment of venous leg ulcers, but with a geriatric medicine focus. Compression therapy, mobility optimization, and social isolation reduction are highlighted for our older adult population.

摘要

静脉性腿部溃疡是由下肢水肿和炎症等一系列复杂情况引起的。尽管老年人更容易受到这些伤口的影响，但这些指南在讨论最佳实践时并没有考虑到对老年人友好的 4M 因素——最重要的是，活动能力、药物、心理状态/情绪。本文回顾了静脉性腿部溃疡的管理和治疗，但重点是老年医学。对于我们的老年人群体，强调了压缩治疗、活动能力优化和减少社交孤立。