A Case of Successful Treatment of Infected Pressure Ulcer in a Patient With Poor Nutritional Status and Mental Illness by a Multifaceted Approach
- VernacularTitle:精神疾患を背景とする低栄養に伴う感染性褥瘡に対して複合的なアプローチによる治療が有効であった1例
- Author:
Michiki NARUSHIMA
1
;
Akinao MATSUNAGA
1
;
Adoru OKAUE
1
;
Sahoko CHIKU
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2020;69(4):411-
- CountryJapan
- Language:Japanese
- Abstract: A 79-year-old woman with an infected pressure ulcer was admitted to our hospital. She had depression and poor nutritional status due to drug-induced dysphagia. To facilitate treatment of the pressure ulcer, improvement of nutritional status was preferable. Adjusting the psychotropic drugs led to improvement of both oral intake and the pressure ulcer. To prevent recurrence of pressure ulcer, the medical treatment environment needed to be improved. An important consideration was where she would receive medical treatment after discharge and included considering the burden on caregivers and the economic burden that this would impose. This case shows that a multifaceted approach can be effective for treating infected pressure ulcer in a patient with poor nutritional status and mental illness.