Managing diabetic wounds in older adults is crucial to preventing complications like infections and serious consequences. According to Dr. Herman Zarate of Zarate Podiatry – with two convenient locations in Takoma Park & Riverdale, MD, older adults tend to be more at risk due to various factors.
- Older adults tend to have less than optimal immune systems, so they should be diligent about regular check-ups to catch complications early.
- Cognitive impairment may restrict self-care, which is why it is helpful for caregivers to be involved in wound management.
- Adverse effects of medications, especially those related to using corticosteroids, may inhibit healing.
Managing Diabetic Wounds in Older Adults
A systematic approach that includes proactive measures to prevent/treat diabetic wounds in older adults reduces complication risks and improves quality of life.
- Assessing Diabetic Wounds
Since neuropathy (a diabetic complication) often decreases one’s ability to feel, wounds can go unnoticed, so it is crucial to inspect at-risk areas routinely. This includes -- Assessing the pain level, although it may not always be a good indicator because of neuropathy.
- Look for increased redness, warmth, swelling, etc. If signs of infection (fever, redness, pus) are present, systemic or topical antibiotics may be necessary. If the infection spreads/deepens, further intervention may be required to rule out a more severe condition.
- Checking for adequate blood flow by evaluating skin color and temperature.
- Wound Cleaning/Debridement
Clean the wound gently with saline or a mild antiseptic because harsher chemicals (i.e., iodine or hydrogen peroxide) can hurt healthy tissue. Several ways exist to remove calluses or foreign matter inhibiting healing if necessary. - Dressings and Moisture Balance
Use dressings (e.g., hydrocolloids, hydrogels, or foam dressings) that maintain a moist environment, supporting faster healing. For wounds with a lot of fluid, it's prudent to use dressings that help keep surrounding skin safe from becoming overly moist and damaged. - Pressure Relief
Pressure offloading is essential for foot ulcers, especially those on the bottom of the foot. Specialized shoes (and other devices) can prevent further injury. For ulcers located elsewhere, adjust positioning to relieve pressure at the wound site. - Optimize Blood Sugar Control
Maintain recommended blood sugar levels because elevated blood sugars can inhibit wound healing and raise infection risks. - Nutrition Support
Proper wound healing requires adequate nutrition.
Contact a Leading Takoma Park & Riverdale, MD Podiatrist Today
Podiatrists provide essential education about appropriate foot care and help by closely monitoring the wound's progress to ensure timely treatment adjustments are made as needed. For more information, contact Dr. Zarate or a staff member of Zarate Podiatry at 301-972-3668 for a consultation at the Riverdale or Takoma Park location or online.