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The challenge of maintaining skin integrity on the older person - an achievable goal

The challenge of maintaining skin integrity on the older person - an achievable goal. Rosie Callaghan Tissue Viability Nurse for Nursing Homes Worcestershire Primary Care Trust rosiecallaghan@nhs.net 07717543046. skin. layers. Changes in ageing skin. Results in.

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The challenge of maintaining skin integrity on the older person - an achievable goal

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  1. The challenge of maintaining skin integrity on the older person - an achievable goal Rosie Callaghan Tissue Viability Nurse for Nursing Homes Worcestershire Primary Care Trust rosiecallaghan@nhs.net 07717543046

  2. skin

  3. layers

  4. Changes in ageing skin

  5. Results in • Are more likely to suffer pressure and thermal damage to the skin due to diminished sensation • Risk hyper/hypothermia due to decreased subcutaneous tissue • Have fewer sweat glands and therefore produce less sweat which hinders thermoregulation and increases the risk of hyperthermia • Slower to exhibit a sensitization response redness heat discomfort due to reduction in langerhans cells this can result in overuse of topical medications and more severe allergic reactions • Risk of overdose of transdermal medications poor absorption can prompt them to reapply too often • Much higher incidence of shear and tear injuries due to compromised skin adhesion and less flexible collagen

  6. Pigment changes • There is an increase in brown spots which resemble freckles. • senile purpura are more often associated with the arms.

  7. Extrinsic Factors • Smoking • Environmental pollutants • Ultra violet light • Decreased mobility • Drug induced disorders • Chronic illness

  8. Correct manual handling techniques‘ • good nutrition and hydration • Good skin care including emollients and use of non perfumed soap • The removal of potential hazards

  9. references • Benbow M (2009) skin tears Britishjournal of Community Nursing 23 (1) 14-18 • Bianchi J, Cameron J (2008) Assessment of skin integrity in the elderly Britishjournal of Community Nursing 13 (3) s23-32 • Davies A Management of dry skin conditions in older people Britishjournal of Community Nursing 13(6) 250-257 • Finch M (2003) Assessment of skin in older people Nursing Older People 15 (2) 29-30 • Hodgkinson B, Nay R, Wilson J (2006) A systematic review of topical skin care in aged facilities Journal of Clinical Nursing 16 129-136 • Lawton S addressing the skin care needs of the older person British journal of Community Nursing 12(5) 203-210 Britishjournal of Community Nursing 13 (7) 302-308 • Nazarko L Understanding and treating a common dermal problem: pruritus • Timmons J (2006) skin function and wound healing physiology Wound Essentials 1 8-17

  10. Web sites • www,skincarecampaign.org • www.bdng.org.uk • www.britishskinfoundation.org.uk • http://www.woundcare.com/ • http;//www.smtl.co.uk/World-Wide Wounds/ • http://www.ewma.org/ • www.cochrane.org • www.dressings.org

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