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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

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Pressure Injury Prevention Considerations for Older Adults.

Linda Cowan¹, Vianna Broderick¹, Jenny G Alderden²

¹James A. Haley Veterans Hospital and Clinics, 13000 Bruce B. Downs Boulevard, Tampa, FL 33612-4745, USA.

Critical Care Nursing Clinics of North America

|November 1, 2020

Summary

Aging causes physiological changes that increase the risk of pressure injuries (PrI) in older adults. Understanding these aging mechanisms is key to preventing PrI and improving skin health outcomes.

Keywords:

Adult Aging Injury Older Pressure Risk Skin Ulcer

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Oral Health Assessment by Lay Personnel for Older Adults

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Area of Science:

Gerontology
Dermatology
Physiology

Background:

Aging is associated with numerous physiological changes affecting skin integrity and wound healing.
These age-related alterations increase susceptibility to pressure-related skin injuries (PrI).

Purpose of the Study:

To examine aging as a significant risk factor for pressure injury (PrI).
To identify the pathophysiological mechanisms of aging that contribute to PrI development.
To outline preventive interventions for PrI in older adults.

Main Methods:

Literature review and synthesis of evidence on aging and PrI.
Analysis of age-related physiological changes impacting skin and tissue.
Discussion of evidence-based preventive strategies.

Main Results:

Advancing age is a well-established, significant risk factor for PrI.
Key aging mechanisms include decreased body fat, muscle mass, altered skin pH, reduced metabolism, impaired immune function, vascular changes, and poor hydration.
These factors collectively compromise skin integrity and delay wound healing.

Conclusions:

Aging significantly elevates the risk of developing pressure injuries (PrI).
Targeted preventive interventions addressing age-related physiological changes are crucial for older adults.
Further research into specific interventions can optimize PrI prevention in geriatric populations.