Ulcers ignoring other factors are influenced in the elderly.
Muscle weakness, weight loss and osteoporosis. Graduated exercises and early ambulation are effective even in patients older and more fragile. A level of skeletal muscle causes a reduction in the amount of cellular ATP and glycogen, the rate of protein degradation increases both strength and speed of shortening of myofibrils decreases. Hypercalcemia is frequently encountered in these patients, which was reversed with exercise.

Muscle shortening and retraction. These can be avoided by the early installation of exercises to maintain or improve joint mobility ranges. Change the immobile patient from his bed to a chair is not enough, for it can produce shortening of the hamstrings at 90 degrees or more of knees exercises you need to add legs and general exercises in bed progressively.

Venous thrombosis. Of particular interest, for the high morbidity and mortality it entails. The presence of deep vein thrombosis and pulmonary embolism can occur in patients by just being still and a much greater extent in those with congenital factors determining factors for these diseases (activated protein C deficiency by mutation of Factor V Leiden mutation 20,210 of the prothrombin gene, deficiency of protein C and S deficiency, antithrombin III, etc.). Measures to avoid these complications, along with exercise, are the use of prophylactic heparin, either unfractionated or low molecular weight or intermittent lower limb bandage.

Urinary and fecal incontinence. Often these patients suffer fecal incontinence secondary to fecal impaction with pseudodiarrea then Fecaloma urinary incontinence. Therefore, digital rectal examination should be performed against the suspect in this table and managed a diet rich in fiber, rich fluid and prokinéticos use, to prevent the occurrence of constipation and its consequences.

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