
It's not uncommon for elderly patients to have co-morbid conditions and be taking several medications, a fact that wound care practitioners and other clinicians need to be aware of. Drugs such as urinary incontinence medications and benzodiazepines have anti-cholingeric effects that can diminish cognitive functioning and, particularly with benzodiazepines, increase drowsiness, putting the elderly at increased risk of falling and developing a trauma such as a leg ulcer. If elderly patients fall more than twice, wound care practitioners should refer elderly patients to a geriatrician. Elderly patients may also have conditions like depression or dementia that affects their ability to adhere to therapy. In such cases, referral to a geriatric psychiatrist is warranted.
