December 2008, Volume 38 Number 12 , p 12 - 12
Moureau, Nancy L. RN, CRNI, BSN
Issue: Volume 38(12), December 2008, p 12 Publication Type: [Department: upFront: I.V. ROUNDS] Publisher: © 2008 Lippincott Williams & Wilkins, Inc. Institution(s): Nancy L. Moureau is an educator, consultant, and president of PICC Excellence, Inc. ( http://www.piccexcellence.com ), in Hartwell, Ga.
ESTABLISHING AND MAINTAINING venous access in an older adult can be challenging. In this article, I'll review some common problems and describe techniques that increase the chance for success.
Aging causes changes to the skin, vein walls, and circulation that can create problems with venipuncture for even the most skilled I.V. nurses. The skin loses tone and elasticity and becomes more fragile and prone to bruising. When bleeding occurs under the skin, it spreads out over a larger area, reducing the available I.V. access sites. Also, loss of subcutaneous tissue in older patients makes veins less stable, so they're more apt to wiggle and roll under ...