What causes high blood pressure in men

| May 10, 2015

Pressure ulcers (PU) is defined as any area of damage to the skin and underlying tissue caused by prolonged pressure on a hard surface with chronic diseases, especially in the elderly with limited mobility, with significant morbidity and social and economic impact high. Analyze how Medicine is one of the complications most feared side extended rest and / or situations of immobility bed. This is a problem, but not limited to geriatric, most often affects people over 75 years. Analysis of effective treatment, etiology, and epidemiology, patient assessment and treatment of this pus.

Are skin lesions that occur anywhere on the body, due to continuous pressure on a hard support surface. The surface may be occipital, scapula, vertebrae, elbows, iliac crest, sacrum, buttocks, knees and heels. General

Population prevalence of 1.7% between 55 and 69 years old and 33% between 20 and 75.

Is a common problem of patients with chronic diseases, especially in the elderly with limited mobility, with a high morbidity and significant economic and social impact.

Pressure ulcers (PU) are one of the most feared complications and secondary conditions prolonged bed rest and immobility.

Pressure ulcer pathogenesis (PU)
It is produced by external pressure, prolonged and constant bone prominence and a hard surface causing ischemia, vascular membrane, which causes vasodilation area of liquid extravasations and cellular infiltration. If the pressure does not decrease, there is a strong local ischemia in the tissue surrounding vein thrombosis and degenerative changes which result in necrosis and ulceration.

This process can continue and reach deeper levels of destruction of muscle, fascia, bones, blood vessels and nerves. Pressure ulcers (PU) (4) requires the existence of microcirculatory disorders in the areas of support located on a hard surface. Skin capillary hydrostatic pressure between 16 and 32 mm Hg. These numbers exceed the pressure decreasing blood flow and ischemic injury can occur in less than 2 hours.

Friction forces and shear forces reduces the pressure required to cause tissue damage. Described

A number of risks in the development of pressure ulcers (PU) independent of the patient's condition. Of these, immobility is the most important. Epidemiology

incidence of ulcers lesions is very difficult to know exactly. A large number of pressure ulcers being treated in a patient went home without records. In addition, many of the injuries that occur in patients hospitalized or in nursing homes are not given any importance and, therefore, are not like any disease, making it very difficult to make a reliable statistical average. Over 70% of ulcers occur in more than 70 years.

General
new Prevention of pressure ulcers:
nutritional support: A good nutritional support promotes healing and prevent new lesions. Nutritional needs of a person with PU are grown and diet should provide at least the following: Calories: 30.35 kcal per kg body weight per day, protein: 1.25-1.5 g / kg of body weight per day. In case of hypoproteinemia, you get to take up to 2 g / kg. Minerals: Zinc, iron and copper. Vitamins C, A, B

Support water, 30 cc of water per kg of weight per day. If that is not covered by your usual diet, we must turn to supplemental enteral or oral hyperproteic to prevent deficiency states and put the patient in a positive nitrogen balance and quality.

Emotional support: There is a decrease in functional capacity which affects both the individual and family. It should be counseling and education in developing the care plan to follow.

Best way to treat a pressure ulcer (PU) is to prevent.


Category: Healthcare Basics

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