Comprehensive recommendations for the prevention of skin tears in the elderly have been published. Most are common-sense recommendations, such as eliminating trip hazards and removing dressings gently, and some, such as wearing protective socks and moisturising, are supported by compelling evidence.
How can the care worker prevent skin tears in elderly clients?
When possible, apply moisturiser to their skin. Having the elderly person wear long sleeves, long pants or knee-high socks can also protect the skin as exposure increases the chance of tears – however, we careful of doing that during the hot weather as it can be uncomfortable for them.
Why does elderly skin tear so easily?
Fragile or thin skin that tears easily is a common problem in older adults. Aging, sun exposure and genetics all play a role in thinning skin. Certain medications, such as long-term use of oral or topical corticosteroids, also can weaken the skin and blood vessels in the skin.
How do I stop my skin from tearing?
A few measures to prevent skin tears include: moisturizing dry skin twice daily; no rubbing of skin — pat dry instead; and averting the use of taping directly to skin — use paper tape if necessary at all. Also, you should use pad protectors over bedrails, wheelchair arms and leg supports.
Why are elderly patients more prone to skin tears?
As the skin ages, the amount of elastin and collagen reduces, resulting in visible changes, such as sagging and wrinkling, along with dryness, which is a result of lower levels of the dermal proteins which retain moisture. The epidermis thins over time, leaving it more susceptible to mechanical trauma.
How can nurses prevent skin tears?
Preventing skin tears
- Assess for risk on admission to healthcare services and whenever the patient’s condition changes;
- Implement a systematic prevention protocol;
- Ensure those at risk wear long sleeves, long trousers or knee-high socks;
How do you prevent skin tears when transferring a patient?
Prevention of Skin Tears
- assessment of the skin on admission and routinely throughout the patient’s stay.
- optimization of nutrition status (which may require dietary/nutrition support)
- increasing moisture content of the skin with regular use of emollients/moisturizers.
What is the best treatment for skin tears in the elderly?
First, gently clean the skin tear with a sterile water or isotonic saline solution. If it’s a smaller and more superficial tear, a gentle soap and water may be used. Then fully cover the tear, but don’t use an adhesive bandage directly on the wound.
What is the best lotion for elderly skin?
The Best Moisturizers for Mature Skin, According to
- CeraVe Moisturizing Cream.
- Cetaphil Rich Hydrating Night Cream.
- Neutrogena Hydro Boost.
- SkinCeuticals AGE Interrupter.
- OLAY Regenerist Micro-Sculpting Cream Fragrance-Free.
- Peter Thomas Roth Water Drench Hyaluronic Cloud Cream.
Is there a vitamin for thin skin?
Using creams that contain vitamin A, also known as retinol or retinoids, may help to prevent skin from thinning further. Retinol creams are available in drugstores or online as cosmetic products. Research published in 2018 suggests that in some cases retinol may help to normalize skin thickness.
What is the best dressing to put on a skin tear?
Several types of dressings work well for skin tears. These include film dressings such as Tegaderm and petroleum jelly gauze.
Is Vaseline good for skin tears?
Cuts and grazes The American Academy of Dermatology recommends petroleum jelly for keeping a wound moist and to help prevent it from drying out and forming a scab, because they take longer to heal. This will also help prevent a scar from getting too large, deep or itchy.
Should you put Neosporin on a skin tear?
If the skin flap is torn off, you may use Bacitracin or Aquaphor and a non-stick dressing. There are frequent allergies to Neosporin so I do not advocate its use. If the skin tear is large and there is a flap, your healthcare provider can sometimes maneuver the flap back into place, at least partially.
How long does it take for skin tears to heal?
An uncomplicated skin tear is an acute wound that will go on to heal within approximately 4 weeks.
What are some of the major causes of skin tears in aged care facilities?
Healthcare practitioners can inadvertently cause skin tears when handling elderly patients or removing adhesive bandages and tapes. They can also be inflicted during routine activities such as dressing and bathing, falls, bumping into objects, patient transfers and using wheelchairs and other mobility aids.
How do you promote moist wound healing?
How to achieve moist wound healing
- Petroleum jelly.
- Hydrocolloid dressing.
- Gelling alginate dressing.
- Film dressing.
- Occlusive foam dressing.