A lot of things change as you age — from mobility and balance to the strength and elasticity of your skin. As skin becomes more fragile, it tears more easily and often takes longer to heal.
For older adults, even small wounds can linger, raising the risk of infection and more serious complications.
“As we age, our skin naturally becomes thinner, drier and less elastic, with reduced blood flow and a slower inflammatory response,” says Kimberly Smith, a South Carolina-based certified wound care nurse and senior clinical solutions executive at Net Health. “Many older adults are also living with chronic conditions — like diabetes, vascular disease or heart failure — and may be taking medications for those conditions, such as steroids or blood thinners, that can interfere with healing.”
Whether you’re caring for an older adult or aging yourself, understanding which wounds are most common — and how to help them heal — is essential.
Here’s what to watch for, how to support safe wound healing at home and when it’s time to seek additional medical care.
[SEE: How to Build a DIY First Aid Kit]
Common Wounds in Elderly Patients
How the body heals in young adulthood differs from how it heals later in life — and that’s a normal part of aging. Wounds that once healed quickly may take longer and require closer attention.
“Essentially, the body’s repair mechanisms slow down and become less efficient as we get older,” says Dr. Ohan Karatoprak, a geriatrician and director of family medicine at Holy Name Medical Center in Teaneck, New Jersey.
Common wounds in this age group often include:
— Pressure injuries (like bed sores)
— Skin tears
— Venous leg ulcers
— Diabetic foot ulcers
— Traumatic wounds from minor bumps or falls
[SEE: Ranking the Most Painful Medical Conditions]
What Helps Wounds Heal Faster?
Even though most wounds are localized to one area, how you care for your whole body matters when it comes to wound healing.
“Wounds heal best when the underlying cause is identified and addressed first,” Smith says. “Healing is rarely about one special product. It is about doing the basics well, every day.”
Venous leg ulcers, which affect up to 3% of the U.S. population, often develop when blood pools in the lower legs due to venous hypertension. When the underlying circulation problem is addressed, these wounds can heal over the course of several months. Research suggests that managing weight, using compression therapy, performing targeted leg exercises and taking medications that improve blood flow can help prevent venous leg ulcers from becoming chronic wounds.
“Unlike minor cuts or scrapes, chronic wounds do not heal on their own and can significantly limit mobility and quality of life,” says Kathleen Corcoran, a Maryland-based nurse and associate vice president of wound care and research at CenterWell Home Health. “If left untreated, they may worsen over time, leading to serious complications and, in severe cases, hospitalization.”
[READ: Understanding the Impact of Health Conditions and Medications on Seniors]
What Are the Five Rules of Wound Care?
These five principles form the foundation of safe wound care and healing, especially for older adults.
Rule 1: Identify the disease
Simply put, the first action item is to identify and treat the underlying cause, plus evaluate contributing conditions.
“If pressure, poor circulation, uncontrolled swelling or elevated blood sugar is not addressed, healing will stall,” Smith says.
Rule 2: Clean the wound
Cleaning an open wound is imperative for fending off bacteria and preventing serious infections.
“Gently irrigating the wound with room-temperature water or saline helps remove debris and bacteria,” Corcoran says.
Rule 3: Choose the appropriate dressing choice
Having the correct dressing — such as gauze, liquid bandages and hydrocolloid bandages — for your wound can make all the difference in how it heals.
“Different wounds will need different types of dressings and different times of dressing changing,” Karatoprak says.
This is why it’s so important to consult with a health care provider to get guidance on how to care for your specific wound.
“A burn, skin tear or deep ulcer each has unique needs, and selecting the right dressing helps protect the wound, manage drainage and support healing,” Corcoran says.
Rule 4: Change wound dressings regularly
Wounds tend to heal faster in a clean, moist environment. However, a moist environment can also provide a breeding ground for bacteria, so it’s important to swap out that dressing regularly as your wound heals.
“Timely dressing changes should balance protection and intervention,” Corcoran says.
Rule 5: Consider antibiotics
“Not all wounds require antibiotics, but for some cases, topical or systemic antibiotics may be necessary to prevent or treat infection,” Corcoran says.
Some symptoms that may warrant an antibiotic include:
— Skin redness or warmth around the wound
— Pain in or around the wound
— Fever
— Wound isn’t healing as expected
What Not to Do During Wound Healing
There are several things you should avoid when treating a wound. These include:
— Using harsh antiseptics. Using strong antiseptics, such as iodine and hydrogen peroxide, on wounds can damage healthy tissue. General rule of thumb: Only use these products if your health care provider tells you to.
— Using lotions with fragrances. Fragranced products can irritate sensitive skin and delay healing.
— Excess moisture or pressure. Remember, too much moisture can also invite bacteria to grow. If you have a pressure injury, you’ll want to reposition yourself often so that you’re putting as minimal pressure and friction on the injury as possible. This will also help improve circulation and promote healing to the affected area.
— Skipping vital healing steps. Skipping dressing changes and picking at scabs can quickly delay healing. It’s important that you don’t assume a wound is healing with time — it’s best to stay the course with your treatment plan as prescribed.
— Doing DIY remedies without guidance. Always talk to your health care provider or a wound specialist about how to treat your wound. Trying alternative treatments (such as homemade tinctures) may increase your risk of infection.
How to Heal Wounds in the Elderly at Home
If transportation is challenging for you or the person you’re caring for, you can consult with a specialist who provides home care or telehealth appointments
.
“Home-based wound care is especially effective because it enables personalized treatment plans while empowering patients to actively participate in their own care, which often leads to better outcomes and faster healing,” Corcoran says.
There’s so much you can do for wound care at home. According to all three experts, it’s important for patients, providers and caretakers to:
— Keep the wound care plan simple so that it’s something the patient can stay consistent with.
— Follow the wound care instructions exactly as prescribed.
— Perform daily skin inspections.
— Keep the wound clean and change dressings regularly.
— Eat a diet rich in wound-healing vitamins and minerals, such as vitamin C, vitamin A and zinc.
— Stay hydrated, as water helps deliver oxygen- and nutrient-rich blood to the affected area.
— Clear walking paths of obstacles that could potentially cause a fall.
— Improve lighting in the home to avoid tripping.
When to See a Health Care Professional
Addressing wound care from the get-go is imperative to ensuring timely (and a full) recovery. You’ll want to see a health care provider sooner than you think. Remember, wounds that seem
minor can worsen quickly due to underlying issues such as circulation problems, chronic diseases and reduced nerve sensations (like with neuropathy).
“Also, regular check-ins and ongoing wound evaluations with a wound care specialist, whether that happens virtually or in person, really matter,” Smith says. “Staying connected allows care teams to catch small changes early, support healing progress and reduce the risk of complications before they escalate.”
Don’t wait to see if a wound heals — ask for help sooner rather than later.
Some warning signs can include:
— Wound isn’t improving within a few days
— Wound is increasing in redness, warmth, swelling, drainage, odor or pain
— Wound occurs on the feet, especially in someone with diabetes or neuropathy
— You also have a fever, fatigue or confusion
— Wound develops due to increased pressure, poor circulation or repeated friction
— Wound keeps reopening despite home care
Bottom Line
Wound care matters at every age, but it becomes especially important as people get older.
Age-related changes in skin strength, circulation and underlying health conditions can slow healing and increase the risk of infection.
Reporting wounds early — to a health care provider or caregiver — allows for timely treatment, helps prevent complications and supports safer, more effective healing.
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A Guide to Senior Wound Care originally appeared on usnews.com
