Abstract
Backgrounds
The dermatologic diseases of the dependent elderly require special attention.
Methods
This screening and treatment service of dermatological diseases was conducted in a Veterans Home in Southern Taiwan.
Results
A total of 337 male residents were screened with mean age 83 years (range 46–99). 271 (80.4 %) residents were in dependent status. Their skin diseases were recorded and the distribution pattern was compared with those in the other studies. Comparing by Chi-square test, scabies, bacterial infection, chronic ulcers, pruritus, and brown spots on the legs were present significantly in certain major systemic diseases, respectively. Higher prevalence of certain skin diseases was related to the severity of disability or major systemic diseases of the residents. Actinic keratosis and non-melanoma skin cancers were early detected and managed.
Conclusions
The distribution patterns of skin diseases in a Veterans Home were unique. It provides the evidences on appropriate management and key nursing points for dependent elderly.
References
Ministry of The Interior R (2013) Population by Age of 0–14, 15–64, 65+ and by 6-year age group. Monthly Bull Inter Stat
Liao YH, Chen KH, Tseng MP, Sun CC (2001) Pattern of skin diseases in a geriatric patient group in Taiwan: a 7-year survey from the outpatient clinic of a university medical center. Dermatology 203(4):308–313
Smith DR, Sheu H, Hsieh F, Lee Y, Chang S, Guo Y (2002) Prevalence of skin disease among nursing home patients in southern Taiwan. Int J Dermatol 41:754–759
Smith DR, Atkinson R, Tang S, Yamagata Z (2002) A survey of skin disease among patients in an Australian nursing home. J Epidemiol 12(4):336–340
Chan S (2006) Prevalence of skin problems in elderly homes residents in Hong Kong. Hong Kong J Dermatol Venereol 14:66–70
Yalcin B, Tamer E, Toy GG, Oztas P, Hayran M, Alli N (2006) The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol 45(6):672–676. doi:10.1111/j.1365-4632.2005.02607.x
Rubegni P, Poggiali S, Nami N, Rubegni M, Fimiani M (2012) Skin diseases in geriatric patients: our experience from a public skin outpatient clinic in Siena. G Ital Dermatol Venereol 147(6):631–636
Cvitanovic H, Knezevic E, Kuljanac I, Jancic E (2010) Skin disease in a geriatric patients group in outpatient dermatologic clinic Karlovac. Croatia. Coll Antropol 34(Suppl 2):247–251
Furue M, Yamazaki S, Jimbow K, Tsuchida T, Amagai M, Tanaka T, Matsunaga K, Muto M, Morita E, Akiyama M, Soma Y, Terui T, Manabe M (2011) Prevalence of dermatological disorders in Japan: a nationwide, cross-sectional, seasonal, multicenter, hospital-based study. J Dermatol 38(4):310–320. doi:10.1111/j.1346-8138.2011.01209.x
Yeatman JM, Kilkenny M, Marks R (1997) The prevalence of seborrhoeic keratoses in an Australian population: does exposure to sunlight play a part in their frequency? Br J Dermatol 137(3):411–414
Schafer T, Merkl J, Klemm E, Wichmann HE, Ring J, Group KS (2006) The epidemiology of nevi and signs of skin aging in the adult general population: Results of the KORA-survey 2000. J Invest Dermatol 126(7):1490–1496. doi:10.1038/sj.jid.5700269
Rosen T, Lebwohl MG (2013) Prevalence and awareness of actinic keratosis: barriers and opportunities. J Am Acad Dermatol 68(1 Suppl 1):S2–S9. doi:10.1016/j.jaad.2012.09.052
Health Promotion Administration (2013) Taiwan cancer registry report 2010
Memon AA, Tomenson JA, Bothwell J, Friedmann PS (2000) Prevalence of solar damage and actinic keratosis in a Merseyside population. Br J Dermatol 142:1154–1159
Vitasa BC, Taylor HR, Strickland PT, Rosenthal FS, West S, Abbey H, Ng SK, Munoz B, Emmett EA (1990) Association of nonmelanoma skin cancer and actinic keratosis with cumulative solar ultraviolet exposure in Maryland watermen. Cancer 65(12):2811–2817
Acknowledgments
This study was funded in part by a grant from Veterans Affairs Council of Executive Yuan of Taiwan (VAC100-C11). The authors express their gratitude to all physicians and members of the Geriatric Medicine Center of Kaohsiung Veterans General Hospital, and all of the nursing colleagues, especially Chu-Chao Liu, at Ping-Tung Veterans Home for their assistance with the data collection and skin examination.
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On behalf of all authors, the corresponding author states that there is no conflict of interest.
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Tseng, HW., Lam, HC., Ger, LP. et al. A survey of dermatological diseases among older male adults of a Veterans Home in Southern Taiwan. Aging Clin Exp Res 27, 227–233 (2015). https://doi.org/10.1007/s40520-014-0260-9
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DOI: https://doi.org/10.1007/s40520-014-0260-9