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Factores de riesgo intrínsecos<br />
• Limited mobility<br />
• Spinal cord injury<br />
• Cerebrovascular accident<br />
• Progressive neurologic disorders (ie,<br />
Parkinson’s, Alzheimer’s, multiple<br />
sclerosis)<br />
• Immobilized patients (hip fracture<br />
patients in traction)<br />
• Poor nutrition<br />
• Anorexia<br />
• Poor dentition<br />
• Medications<br />
• Poverty or lack of access to food<br />
• Decreased sense of smell affecting taste<br />
• Depression<br />
• Dietary restrictions<br />
• Comorbidities<br />
• Diabetes mellitus<br />
• Congestive heart failure<br />
• Renal failure<br />
• Malignancies<br />
• Chronic obstructive pulmonary disease<br />
• Aging skin<br />
• Loss of elasticity<br />
• Decreased cutaneous blood flow<br />
• Decreased dermal‐epidermal turnover<br />
• Changes in dermal pH<br />
• Flattening of rete ridges<br />
• Loss of subcutaneous fat<br />
• Disorganization of collagen fibrils:<br />
photoaging<br />
• Accumulation of abnormal elastin:<br />
containing<br />
Assessment and Management of Chronic Pressure Ulcers in the Elderly. Aime´e Dinorah Garcia, MD, CWSa, David R.<br />
Thomas, MD. Med Clin N Am 90 (2006) 925–944.
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