DECUBITUS CAUSES OF STROKE ELDERLY PATIENTS : LITERATURE REVIEW

Abstract

Elderly individuals who suffer from stroke are at high risk of developing pressure ulcers (decubitus) due to impaired mobility resulting from weakness in their limbs. This literature review aims to analyze and identify the contributing factors of pressure ulcers in elderly individuals with stroke. The methodology of this review uses the SPIDER technique: S (Sample), PI (Phenomenon of Interest), D (Design), E (Evaluation), and R (Research type). After reviewing ten analyzed articles, it was found that the main factors contributing to the occurrence of pressure ulcers include immobility, poor nutrition, skin moisture due to incontinence, and a lack of patient knowledge regarding their illness. Other contributing factors include changes in skin structure and ineffective wound care, both in hospitals and nursing homes. This literature review emphasizes the importance of a comprehensive approach to post-stroke elderly care, which includes family support, intensive wound care, fulfillment of nutritional needs, and regular repositioning. Preventing decubitus requires active collaboration among healthcare providers, families, and caregivers to minimize the complications that could worsen the elderly's condition. Among the various factors identified, immobility is the most dominant cause of decubitus in elderly stroke patients found in this review