Pressure ulcer risk is increased, particularly in senior patients, by pelvic and acetabular fractures because they cause discomfort and immobility. There is a lack of information in the literature about the risk factors in the development of pressure injuries due to geriatric pelvic or acetabulum fractures (Fritz et al., 2020). When there is poor bone quality present, they treat a range of old pelvic and ligamentous fractures is often a low-energy trauma. Options for therapy include non-invasive or conventional surgical treatments as well as more conservative methods (Chen et al., 2021). Pre-existing pathologies and a general lack of physical fitness are significant obstacles to treating older people.
The body’s susceptibility is diminished in the elderly compared to other groups because of the progressive loss in functional status, poor nutritional condition, thin and dry epidermis, poor suppleness, inadequate responsiveness, and frequently connected with hypertensive, diabetic, and other chronic disorders. Pressure ulcers increase the chance of developing the condition and hasten the onset of worry, dread, and different unpleasant feelings in patients, substantially impairing their ability to recover and their quality of life (Takeshima Kohara et al., 2021). The condition itself causes patients to suffer physical and emotional stress.
The focus of nursing practice has shifted to improving patients’ prognoses through illness treatment, eliminating or easing despair and anxiety, and enhancing patients’ quality of life. Bundled therapy is a complete nurse instructional strategy based on current evidence-based healthcare that may application was launched and have been released a whole, comprehensive, patient-centered diagnostic and therapeutic approach as well as high-quality nursing facilities (Blackburn et al., 2020). It is crucial for enhancing the effectiveness of patient therapy (Tuz & Mitchell, 2021). Although integrated healthcare has been used to treat pressure injuries in senior people at home and abroad, which can significantly increase pressure injuries’ therapeutic efficacy, it does not take into account the effects on individuals’ levels of stress, anxiety, or quality of life.
Older people who develop pressure sores themselves have localized skin damage, and the reduction in nutritional uptake function, poor repairing capability, and wounds that are prone to delayed closure make the condition difficult to treat. Elderly patients frequently experience anxiety and sadness, are bedridden for extended periods, and have limited self-care skills (Nadukkandiyil et al., 2020). Understanding the pressure ulcer risk factors associated with various chronic conditions as well as consequences is crucial. It is essential to comprehend how tissue ischemia, undernutrition, and immobility contribute to the development of pressure ulcers (Borojeny et al., 2020). To prevent and treat pressure ulcers, whether preventable or not, the doctor should take into account the patient’s comprehensive clinical history, the management of acute and chronic illnesses, and their consequences.
The outcome of pressure injury therapy is directly connected to the underlying medical condition that caused the pressure ulcer to form. The development of pressure ulcers in immobile individuals with severe physical pathology or mental diseases is viewed as a bad omen (Olivo et al., 2020). Pressure ulcer development in resuscitating patients on a ventilator is a bad prognostic indicator and accurately reflects the sad course of the underlying illness with the advancement of organ dysfunction.
References
Borojeny, L. A., Albatineh, A. N., Dehkordi, A. H., & Gheshlagh, R. G. (2020). The incidence of pressure ulcers and its associations in different wards of the hospital: a systematic review and meta-analysis.International Journal of Preventive Medicine, 11.
Blackburn, J., Ousey, K., Taylor, L., Moore, B., Patton, D., Moore, Z., & Avsar, P. (2020). The relationship between expected risk factors and the pathology of pressure ulcer development: A systematic review.Journal of wound care, 29(Sup3), S4-S12.
Chen, X., Deng, C., Tan, G., Zheng, H., Yang, T., & Zhang, X. (2021). Application efficacy of bundled nursing management in care of elderly patients with pressure ulcers.American Journal of Translational Research, 13(6), 6738.
Fritz, A., Gericke, L., Höch, A., Josten, C., & Osterhoff, G. (2020). Time-to-treatment is a risk factor for the development of pressure ulcers in elderly patients with fractures of the pelvis and acetabulum. Injury, 51(2), 352-356.
Nadukkandiyil, N., Syamala, S., Saleh, H. A., Sathian, B., Ahmadi Zadeh, K., Acharath Valappil, S., & Al Hamad, H. (2020). Implementation of pressure ulcer prevention and management in elderly patients: a retrospective study in tertiary care hospital in Qatar. The Aging Male, 23(5), 1066-1072.
Olivo, S., Canova, C., Peghetti, A., Rossi, M., & Zanotti, R. (2020). Prevalence of pressure ulcers in hospitalized patients: a cross-sectional study. Journal of Wound Care, 29(Sup3), S20-S28.
Takeshima Kohara, H., Ikeda, M., & Okawa, M. (2021). Relationship between pressure ulcers in older people and physiological indices of the skin. Acta Medica Okayama, 75(5), 557-565.
Tuz, M. A., & Mitchell, A. (2021). The influence of anemia on pressure ulcer healing in elderly patients. British Journal of Nursing, 30(15), 32-38.