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Senile pruritus is one of the most common conditions in the elderly or people over 65 years of age with an emerging itch that may be accompanied with changes in temperature and textural characteristics. [1] [2] [3] In the elderly, xerosis, is the most common cause for an itch due to the degradation of the skin barrier over time. [4]
Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5.
Geriatrics, or geriatric medicine, [1] is a medical specialty focused on addressing the unique health needs of older adults [2] The term geriatrics originates from the Greek γέρων geron meaning "old man", and ιατρός iatros meaning "healer".
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Geriatricians have focused on holistic assessments of their patients since the early days of the specialty. Dr. Marjorie Warren was the first doctor in the UK to systematically assess older people, categorizing them into those who could be got better with appropriate treatment and then discharged, and those who needed continuing (usually institutional) care. [4]
The community health nurse has a role of education in the area of gerontological nursing research. The older client has areas in the community such as the local senior center, where they can have their blood sugar and blood pressure checked. There are community centers where the elderly patient can receive their influenza and pneumococcal vaccines.
The skin weighs an average of four kilograms, covers an area of two square metres, and is made of three distinct layers: the epidermis, dermis, and subcutaneous tissue. [1] The two main types of human skin are: glabrous skin, the hairless skin on the palms and soles (also referred to as the "palmoplantar" surfaces), and hair-bearing skin. [3]
In vascularisation, also called angiogenesis, endothelial cells quickly grow into the tissue from older, intact blood vessels. [8] These branch out in a systematic way, forming anastomoses with other vessels. Approximate times of the different phases of wound healing, with substantial variation depending on wound size and healing conditions.