An elderly client is recovering from a severe burn to 50% of the body. Which of the following aging considerations are important to remember in caring for an elderly client with a burn injury?
a. Normal physiologic changes associated with aging delay recovery and put the older adult at greater risk for complications following a burn injury.
b. The stress of a severe burn can leave the body unable to cope with demands for increased oxygen and increased cardiac output.
c. The older adult has an increased glomerular filtration rate which protect the client from kidney failure.
d. An older client's skin is more fragile due to the loss of subcutaneous tissue.
e. Circulation, especially in the lower extremi-ties may already be compromised, so healing will be delayed.
f. Skin grafting may not be successful because of impaired circulation and impaired nutrition.
A, B, D, E, F
Burn injuries in the elderly provide challenges for the healthcare team due to several age related changes. These include normal physiologic changes that occur with aging delay recovery and put the older adult at greater risk for complications following a burn injury. As a person ages, the physiologic reserves of organ systems decrease. While the older person may have adequate pulmonary and cardiac functions at rest, the stress of a severe burn can leave the body unable to cope with demands for increased oxygen and increased cardiac output. Renal changes that occur with aging, such as decreased renal blood flow, fewer nephrons, and a decreased glomerular filtration rate, put the older adult at higher risk for kidney failure after a severe burn. With loss of subcutaneous tissue and decreased secretion of sebum, the older person's skin is normally more fragile. Circulation, especially in the lower extremities, may already be compromised, so healing will be delayed. Skin-grafting procedures may not be successful because of impaired circulation and impaired tissue nutrition.
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