Application of moist wound healing to the gerontologic population |
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Authors: | Joseph C. Alper M.D. Elizabeth A. Welch M.D. Patricia Maguire R.N. |
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Affiliation: | (1) Department of Medicine, Division of Dermatology, Roger Williams General Hospital, 825 Chalkstone Avenue, Providence, Rhode Island, 02908 |
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Abstract: | During a five year period, approximately 150 elderly patients were treated with a water vapor and oxygen permeable membrane (VPM) in an open fashion. The following is important when treating elderly patients with VPM: xerosis or irritant dermatitis must be thoroughly treated before use of VPM as it will not adhere to abnormal skin; alcohol or acetone should not be used to prepare the treatment site as they cause irritation; VPM must not be stretched prior to placement as friction blisters occur in fragile, elderly skin; prior to removal, VPM should be soaked in soapy water or its surface rubbed lightly with alconol to break the adhesive bond to prevent stripping off epidermis; in patients with protein-calorie malnutrition, serum albumin should be monitored as large amounts of protein-rich fluid collect under VPM. VPM is a useful non-surgical approach to treating many ulcers in the elderly. Certain precautions must be taken to achieve optimum success in this population. |
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