Interní Med. 2007; 9(11): 499-506

Decubital ulcer - from a geriatrician perspective

MUDr. Hana Meluzínová³, doc. MUDr. Pavel Weber CSc¹, MUDr. Zuzana Navrátilová Ph.D², prof. MUDr. Hana Kubešová CSc³

¹ klinika geriatrie FN, Brno

² Ambulance dermatologické angiologie, Brno

³ Klinika interní, geriatrie a praktického lékařství, FN a LF MU Brno

Decubial ulcer belongs to important problems of geriatric medicine because 70% of all decubital ulcers manifests in patients older than 70 years. It has a tight relation to immobilization syndrome that together with instability, incontinence and intelectual disorders belong to “great geriatric syndromes”. These syndromes manifest predominantly in the late senium (over 75 years) and accomplish the clinical picture of general polymorbidity. They are usually accompanied by disaptibility. The ethiopathogenesis, clinical picture including classification and complications are discussed. The authors underline a decisive role of malnutrition for the development and further unfavorable course of decubital ulcer. They underline use of nutritional intervention in all elderly at risk as a prevention and a part of the treatment strategy in developed decubital ulcers. A special emphasis is put on a prevention and options of modern treatment.

Keywords: decubital ulcers, malnutrition, ethiopathogenesis, complications, clinical picture, prevention, treatment

Published: January 1, 2008  Show citation