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Pressure ulcers in long-term care
Authors:White-Chu E Foy  Flock Petra  Struck Bryan  Aronson Louise
Affiliation:a Department of Medicine, Hebrew Senior Life, 1200 Centre Street, Roslindale, MA 02131, USA
b Division of Gerontology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Harvard Medical School, Boston, MA 02215, USA
c Division of Geriatrics, University of Massachusetts Medical School, 119 Belmont Street, Worcester, MA 01605, USA
d Summit ElderCare, 88 Masonic Home Road, Charlton, MA 01507, USA
e Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, 1100 N Lindsay, Oklahoma City, OK 73104, USA
f Geriatrics and Extended Care, Oklahoma City VA Medical Center, 921 NE 13th VAMC 11g, Oklahoma City, OK, 73104, USA
g Division of Geriatrics, University of California at San Francisco, 3333 California Street, Suite 380, San Francisco, CA 94118, USA
Abstract:Pressure ulcers are common, costly, and debilitating chronic wounds, which occur preferentially in people with advanced age, physical or cognitive impairments, and multiple comorbidities. Residents with pressure ulcers have decreased quality of life and increased morbidity and mortality, and facilities with high rates of pressure ulcers have higher costs and risks of litigation. Health professionals who practice in this setting should be well versed in pressure ulcer management. This article reviews the significance, risk factors, pathophysiology, prevention, diagnosis, and management of pressure ulcers in long-term care.
Keywords:Pressure ulcers   Decubitus ulcers   Elderly   Geriatric   Management
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