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Original Article Onychomycosis in the elderly. A 2-year retrospective study of 138 cases Onicomicosis en adultos mayores. Estudio retrospectivo de 138 casos en 2 años

As life expectancy increases worldwide, so does the incidence of age-related pathologies, among them onychomycosis (OM). This fungal infection of the nails may represent a potential risk of complications among elderly due to the presence of concomitant diseases that can complicate their treatment.

Elderly Toenail Fungus - Toe Nail Fungus In Elderly

To determine the frequency of onychomycosis among elderly patients over a period of 2 years at the General Hospital of Mexico “Dr Eduardo Liceaga”.

Nail Fungus Toes Elderly Woman's Feet Close White Background Old Stock Photo By ©kinderkz 356180134

A total of 138 patients were diagnosed with onychomycosis. Of these, 43 (31.2%) reported no concomitant diseases. The most common comorbidities in the remaining patients was arterial hypertension in 50 patients (36.2%) and diabetes mellitus in 49 (35.5%); the most common clinical type of OM was total dystrophic (87 patients, 63%), with involvement of the hallux of both feet (48 patients, 34.8%). The average evolution was 12 years; 60 patients (42.3%) denied previous treatments, and 32 (22.5%) used OTC medicines. In 125 patients (90.6%), filaments, yeasts or arthroconidia were observed. On culture examination,

Approximately 9 out of 10 nail disorders in the elderly were onychomycosis; many of these patients may present with comorbidities such as hypertension or diabetes mellitus, which often complicate treatment outcomes, affecting quality of life. Elderly patients should receive adequate health education and monitoring. This will improve their quality of life.

La perspectiva de aumento en el tiempo de vida del ser humano en la actualidad permite que diversas enfermedades aumenten su frecuencia, de éstas las alteraciones en la lámina ungueal, principalmente las onicomicosis pueden representar un riesgo en los adultos mayores debido a las patologías concomitantes que pueden complicar su tratamiento.

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Presentar un panorama actual de onicomicosis en pacientes adultos mayores de los casos atendidos en un periodo de 2 años en el Hospital General de México “Dr. Eduardo Liceaga”, durante la realización de las “Ferias de la salud”.

Del total de pacientes adultos mayores revisados, en 138 se comprobó el diagnóstico de onicomicosis, de los cuales 43 (31.2%) no refirieron ninguna otra enfermedad y las principales comorbilidades presentes en los demás fueron hipertensión arterial 50 (36.2%) y diabetes mellitus 49 (35.5%), la variedad clínica más frecuente fue la onicomicosis distrófica total 87 (63%), con afección de la primera uña de ambos pies 48 (34.8%), el promedio de evolución fue de 12 años; respecto a los tratamientos utilizados la mayoría 60 (42.3%), negaba haber utilizado alguno, y en menor proporción se refería el uso de productos de venta libre 32 (22.5%). En los resultados de los estudios micológicos 125 (90.6%) se observaron filamentos, levaduras o artroconidios, los hongos identificados fueron levaduras de

Aproximadamente, 9/10 alteraciones ungueales en el adulto mayor son onicomicosis, muchos de éstos pueden presentar comorbilidades como hipertensión arterial o bien diabetes mellitus, lo cual dificulta el manejo terapéutico, el deterioro en la calidad de vida y el vivir más años suelen estar acompañados, es necesario educar a la población y una vigilancia médica más estricta, ello mejorará la calidad de vida de nuestra población en edades avanzadas.Elder Care: Recognizing dangers that may not be tied to other medical illnesses or long-term difficulties is critical when creating an aged care strategy for your old parents.

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Keeping a close eye on your loved ones as they become older may help you catch issues before they get out of hand, allowing you to get them the medical care and treatment they need. If you don’t have an elder care plan it is time to think about hiring a caregiver who can help create a plan to take care of your parents.

There are so many things to watch for when you’re looking after your aging parents and it can be a full-time job ensuring the safety of your parents.

Caregivers will create an elder care plan that ensures the safety of your parents and they can help be on the lookout for things you may not even think to look for. Hygiene habits change as a senior’s age progresses and this can lead to toenail fungus or even fingernail fungus. It’s important to have someone at home helping your senior with things like this.

Fungal Nail Infection Causes, Symptoms And Treatment - Toe Nail Fungus In Elderly

Explainer: Why Do We Get Fungal Nail Infections And How Can We Treat Them?

Making toenail fungus a part of your senior care plan will help protect your elderly loved ones from major discomfort, suffering, and a spread of the infection that can have a negative influence on their general health. This form of illness may have a detrimental effect on your parents’ emotional health because of how unsightly it is and how easily it spreads to their fingers.

Toenail fungus spreads quickly, which is one of the main worries. The infection may spread to other parts of the body if infected parts of the nail or skin come into contact with other parts of the body. A weakened immune system or illnesses like diabetes and poor circulation might make maintenance more challenging for the elderly. Here are some symptoms of toenail fungus.

There are ways to protect your elderly parents from getting fungus but you may not be able to do it alone. It will be important to have the right help to take care of your parents.

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Once the fungus has spread a senior may need to go to a doctor for medical treatment. However, sanitization will help prevent it from happening altogether. Here are some ways to prevent fungus from happening.

If you bring your elderly parents in for a professional foot treatment, make sure to utilize only sterilized pedicure materials and pay attention to the sanitary procedures of the tools.

Toenail Fungus - Toe Nail Fungus In Elderly

Make sure you use special toenail cutters if you discover your elderly parents’ toenails have been infected with a fungal infection. Once you’re done, be sure to thoroughly disinfect your clippers.

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Encourage your parents to wear water shoes when they travel to locations where they may come into touch with fungi, such as public pools or the gym showers. After each visit, make certain they thoroughly wash their feet.

If you or an aging loved-one are considering hiring Elder Care in Winchester City, VA , please contact the caring staff at Home Care. Call Us Today at (703) 634-9991.

Is a Medicare certified agency based in Manassas, VA. Since 2003 we have been committed to providing the best home health care available. Our company was started by a registered nurse who still owns and operates the company today. Julie McCormick and Brendan McCormick are co-owners and founders of Home Health Services. Between the two of them comes over 35 years of home health care experience. Julie is a Registered Nurse with extensive experience in Emergency Medicine, Cardiac Critical Care, Oncology & Infusion Services.Toenail fungus is a fungal infection of the nails of your toes. Known as onychomycosis, an infection may begin as a whitish or yellowish spot under the tip of your toenail. As the fungal infection spreads, it may cause your nail to discolor, thicken, and start to crumble at the edges - a potentially painful and unsightly problem.

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Elderly patient with toenail fungus A toenail fungal infection is not due to poor hygiene - it occurs when fungus enters the nail through a small cut or break in the toenail. Fungi, microscopic organisms which thrive in dark, damp places like gym showers and locker rooms, multiply quickly inside socks and shoes which are damp most of the day. Since toenails have less blood flow than the rest of your body, fighting a fungal infection becomes difficult.

 - Toe Nail Fungus In Elderly

Elderly patients are particularly at risk for fungal infections of toenails, due to their diminished blood circulation and the slower growth of their nails. Infections are also more likely to occur in men than women, especially those with a family history of toenail infection.

Onychomycosis can become quite painful and cause permanent damage to your nails. If you have a suppressed or weakened immune system(leukemia, AIDS, organ transplant recipients), a fungal infection of your toenails can lead to other, more serious infections which may spread beyond your toes.

What Causes Toenail Fungus And How Can I Get Rid Of It Before Summer?: Premier Foot & Ankle: Podiatrists

Diabetic patients are also at high risk, as blood circulation and the nerves in their feet may be impaired due to diabetic peripheral neuropathy, making healing difficult. Diabetics also may contract

, a potentially serious bacterial skin infection. Learn what to look for on our page about foot and ankle healthcare for diabetics.

You can avoid getting toenail fungus infections by always wearing flip-flops or sandals in warm, damp, public areas like gym locker rooms, public showers, and swimming pools; keeping the inside of your shoes dry and wearing clean socks every day; drying your feet thoroughly after bathing; wearing socks made from materials like cotton or wool that absorb moisture from your feet; wearing shoes made from natural materials which allow air and moisture exchange; and using antifungal powder daily.

Onychomycosis - Toe Nail Fungus In Elderly

Toenail Fungus Symptoms & Fungal Infection Treatment

A toenail fungal infection will not clear up on its own and must be treated with medications or by laser removal of the fungus. As soon as you see the first signs of a toenail fungus infection (tiny white or yellow spot under the nail), seek treatment from a podiatrist.

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Essie Cosmetics is a company that was founded by Essie Weingarten, and which is now owned by L’Oreal. Apparently, Queen Elizabeth II will only wear Essie’s Ballet Slippers color nail polish. Well, that’s what Wikipedia claims …

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Oscar the Grouch is the Muppet that lives in a garbage can. Oscar’s persona comes from various sources. He is named after Oscar Brand who was one of the board members of the Children’s Television Workshop, the backers for “Sesame Street” as the Muppets were being developed in the sixties. Oscar’s personality was inspired by an angry waiter that once served Jim Henson (father of the Muppets). The voice was modeled on a grumpy New York cab driver encountered one day by Caroll Spinney, the puppeteer who brings Oscar to life.

Hamilton is the capital of the British Overseas Territory of Bermuda located in the North Atlantic Ocean. The city was founded in 1790 and was named for Henry Hamilton, who was Governor of Bermuda at that time. As recently as 2016, Hamilton has topped the list of the most expensive cities in the world in which to live.

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Rod Steiger played some powerful roles on the screen, perhaps most memorably the Chief of Police in the 1967 drama “In the Heat of the Night”, for which he won a Best Actor Oscar. Steiger was married five times, including a 10-year marriage to fellow actor Claire Bloom. Together Bloom and Steiger had a daughter, the British opera singer Anna Steiger.

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“In the Heat of the Night” is a 1967 film based on a 1965 novel of the same name by John Ball. Both tell the story of an African American detective from Philadelphia was gets involved in a murder investigation in a small town in Mississippi. The Oscar-winning film stars Sidney Poitier and Rod Steiger. The most famous line in the movie is “They call me MISTER Tibbs!” This line was used as the title of a 1970 sequel, with Sidney Poitier reprising his role of police detective Virgil Tibbs.

“The A-Team” is an action television series that originally ran in the eighties. The A-Team was a group of ex-US special forces personnel who became mercenaries. Star of the show was Hollywood actor George Peppard (as “Hannibal” Smith), ably assisted by Mr. T (as “B.A.” Baracus) and Robert Vaughn (as Hunt Stockwell).

The Ragú brand of pasta sauce is owned by Unilever. The name ” Ragù” is the Italian word for a sauce used to dress pasta, however the spelling is off a little. In Italian the word is “Ragù” with a grave accent over the “u”, but if you look at a jar of the sauce on the supermarket shelf it is spelled “Ragú” on the label, with an acute accent. Sometimes I think we just don’t try …

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Norway has been ranked as the country in the world with the highest standard of living almost every year since 2001. Norway is rich in natural resources and has a relatively low population. The people benefit from a comprehensive social security system, subsidized higher education for all citizens and universal health care. And Norway is famous for her success at the Winter Olympic Games, having won more gold medals than any other nation in the world.

Yao Ming is a retired professional basketball player from Shanghai who played for the Houston Rockets. At 7’6″, Yao was the tallest man playing in the NBA.

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A levy is a tax. The term “levy” comes from Old French in which “levée” means “raising”. So a levy is a tax that has been “raised” (in the sense of “collected”, not “increased”).

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Shinzo Abe first became Prime Minister of Japan in 2006, at which time he was the youngest person to hold the post since WWII and was the first PM born after the war. Abe was in office for less than a year, but was voted in again in 2012. Abe is usually characterized as a right-wing nationalist.

Capri Sun is juice concentrate that was introduced in 1969. The brand is famous for the laminated foil pouches in which the juice is sold.

The Home Depot is the largest home improvement retail chain in the US, ahead of Lowe’s.

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Rebecca is a contributing writer for where she specializes in all things nails. She has worked in beauty editorial for seven years.

Nail shapes and lengths that fill your feed. In a world where nail art is a prime way to showcase your personality and style, it’s hard not to. Of course, if you have trouble growing out your nails (hey, hi, same), you may feel like you can’t get in on the fun.

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But, thanks to nail strengthening treatments, press-on nails, and enhancements, where there’s a will, there’s a way. So instead of sulking over not being able to participate in the mani moment, turn your attention to nail shapes. After all, not all nail shapes suit all nail beds, nor do they necessarily align with every nail art trend, let alone personal preference. As such, narrowing down your nail shape of choice is the first step to achieving an Insta-worthy mani in real life.

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Not sure which nail shape is best for you and your lifestyle? We’re here to help. We chatted with celebrity manicurists Julie Kandalec and Tom Bachik to get the low-down on the most popular nail shapes, including who they’re best for and how they’re best filed into place. Keep reading to learn more.

While it’s common to assume that nail shape is largely based on personal preference and the ability to grow nails, Kandalec points out that physics plays a role, too. “Nail shapes have much more to do with the physics of the nail than just choosing a shape and trying to file it down [as desired], ” she explains. “Several shapes, like stiletto and coffin styles, can only be achieved with a structured product, meaning hard gel or acrylic, or a press-on nail that has an arch (AKA curve).”

Round nails are among of the most popular, as they closely align with the shape of a natural nail. “This shape is most flattering on a shorter nail, ” Kandalec says. “[To get the look, ] file each side a little at a time" to make sure they're balanced.

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What’s nice about round nails is that you really don’t have to consider much—if anything at all—when thinking of adopting this shape. Since they’re short and lack pointed edges, they won’t interfere with typing, picking things up, pulling your pants up and down, buttoning garments, etc. In short, if your goal is to adopt a nail shape that’s very convenient for everyday life, round nails are a great option.

Like round nails, oval nails feature a rounded tip but they’re on the longer side. “The sidewalls are straight before gently sloping to the rounded shape, ” Kandalec explains. While oval nails look lovely on all hands, Kandalec says they’re especially great when paired with shorter nail beds because they “make them appear longer.”

The only downside is that, since oval nails are on the longer side, they can introduce some difficulties with getting dressed, typing, picking things up, and even working out. That said, once you’ve had them for a while, you tend to get used to how to wield your hands to accommodate the length.

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Square nails can be short or long in tip length (according to Bachik the shorter your nail length preference, the squarer you can go), but according to Kandalec, they look best on longer nail beds. To bring square nails to life yourself, Kandalec says to file each nail straight across. “Check it both ways (‘client view’ and flip to ‘nail tech view’) to see that both ways are straight, ” she insists, noting that in the end, the tips should be slightly narrower than the cuticle area. 

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If you opt for short square nails, you don’t have to consider your lifestyle. If you opt for long square nails, however, the shape can interfere with everyday tasks at first. After you've had them for a couple of weeks, though, they'll become semi-second nature.

Squoval nails are a mix of square and oval, featuring a bit more length but with rounded square edges. “This is the most popular shape for short or natural nails, ” Kandalec says.

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While squoval nails are incredibly popular on Instagram and IRL, Kandalec says that the term is often misunderstood; she prefers to refer to them as “soft square” nails. To get the look, she recommends you start by filing your nails into a square shape. “Then take a fine grit file and gently file once on each corner to soften it into a soft square, ” she says.

The best news? Since squoval nails are on the shorter side, you don’t have to worry about them interfering with daily life.

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Almond nails are similar to oval nails, only instead of a rounded tip, they feature a soft point, and instead of straight sidewalls, they feature tapered edges. As popular as almond nails are, Kandalec says they’re best reserved for those who get nail enhancements, as you have to have extremely long nail beds and long tips. “The free edge should be close to or more than the same length as the nail bed (a 50/50 split), ” she explains. “Too short and the shape looks off balance.” What’s more, she says that the presence of an apex (a soft curve seen from the side view of the nail) is key to achieving a true almond shape, and enhancements are required for such. 

Different Nail Shapes

As beautiful as almond nails are, they are longer, which means they’re more likely to interfere with everyday activities like typing, texting, pulling cards out of your wallet, etc. However, since almond nails are tapered and don’t have a sharp point, they’re more convenient than coffin and stiletto nails (more on those below).

The coffin nail shape (also known as the ballerina) is reserved for extremely long nails. It’s characterized by long, tapered straight edges that come to a narrow squared tip. “The free edge must be significantly longer than the nail bed, and the arch (apex) must be placed in the proper area to give the nail the proper appearance and strength, " says Kandalec. "Think about bridges—they're not straight across. They need extra strength to be able to hold the weight."

Due to their dramatic length, Kandalec notes that coffin nails are among the hardest to create and wear. As such, she recommends seeking the help of a pro to properly bring them to life.

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Stiletto nails are the sharpest shape of all. According to Kandalec, they also require the most length. “This shape cannot be achieved properly with the natural nail—having a coating like structured gel or acrylic is necessary to get the proper shape, ” she reveals, noting that a nail appointment is the best way to recreate the stiletto nails you see on social media.

Whether you’re a fan of short, medium, or long nails filed round, oval, square, squoval, almond, coffin, or stiletto, press-ons exist to offer a quick and convenient solution to what can be a very time-consuming shaping and manicure process. Alternatively, if you’re unsure which shape and length you like, Bachik says that press-on nails can help in that department, too.

Luckily for us, press-ons have come a long way since the early ‘00s disasters you may be imagining. imPRESS's Press-On Manicure is sold in dozens of different colors, prints, lengths, and shapes, with each set costing under $10, while Sally Hansen recently debuted its Salon Effects Perfect Manicure Press on Nail Kits, which also cost less than $10. But that’s not all: Some of the most popular nail studios and artists in the country have released press-ons, too. Our favorites include the Chill Tips ($16) by Chillhouse and The Instant Mani ($10) by Olive & June.

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