For The Elderly, What Factors Would Put Them At Risk For Impaired Skin Integrity?

For The Elderly, What Factors Would Put Them At Risk For Impaired Skin Integrity?

Pressure, shear, and friction from immobility put an individual at risk for altered skin integrity. Patients who are overweight, paralyzed, with spinal cord injuries, those who are bedridden and confined to wheelchairs, and those with edema are also at highest risk for altered skin integrity.

What factors can influence skin integrity?

Internal factors include the person’s age, health status, mobility, body weight. External factors may include pressure, shear or moisture. Often the person will have several of these factors which impact on skin integrity.

Why is skin integrity and important consideration when working with older adults?

Good skin integrity is vital to good health because the skin acts as a barrier to microbes and toxins, as well as physical stressors such as sunlight and radiation. It is well known that the skin loses integrity with the ageing process, and this makes older adults susceptible to pressure injury.

What plays a role in skin integrity in the elderly?

Hydration is key for skin integrity and wound healing But it is especially critical for older adults who might be experiencing dry, flaky, or itchy skin. Hydration is also vital in the wound healing process. Research has shown that a moist environment promotes better healing when compared to a dry environment.

How does skin integrity change with age?

Older people are at risk of skin damage, as changes that can occur to skin as it ages can affect its integrity, making it more vulnerable to damage, and to the development of a pressure injury or skin tears1. In addition, older people in hospital are likely to spend more than 23 hours per day either in bed or sitting2.

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What is risk for impaired skin integrity?

Pressure, shear, and friction from immobility put an individual at risk for altered skin integrity. Patients who are overweight, paralyzed, with spinal cord injuries, those who are bedridden and confined to wheelchairs, and those with edema are also at highest risk for altered skin integrity.

What is impaired skin integrity?

Impaired skin integrity is defined as an ‘ altered epidermis and/or dermis, destruction of skin layers (dermis) and disruption of skin surface (epidermis) ‘ (North American Nursing Diagnosis Association, 2018).

Why are older adults at risk for pressure ulcers?

Diseases related to neuromotor and skeletal muscle disorders impair quality of life, self-care, and functional capacity among the elderly, consequently interfering with nutrition and levels of sensory perception, mobility, activity, and moisture, which are classic risk factors for pressure ulcer development.

What is the main cause of skin breakdown in the elderly resident?

Some of the major factors that are known to contribute to skin breakdown among frail, elderly residents include: diseases such as diabetes, cancer, and cardiovascular disease, poor mobility; this includes residents who are bedridden or chair bound, inadequate nutrition and hydration, some medications such as steroids,

Why is aged skin at greater risk from friction shearing and tearing?

Older people have a higher risk of skin tears due to skin fragility caused by ageing and comorbidity. Skin tears are acute wounds that can be painful and can lead to complications such as infection and delayed wound healing if not treated correctly.

What causes impaired tissue integrity?

In a normal setting, these defenses are adequate to defend the body from any threats. However, some factors may cause impairment or a break in this line of defense, causing impairment of tissue integrity. The most common cause includes physical trauma (e.g., car accidents, sports injuries, cuts, blunt trauma, etc.).

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Why are diabetics at risk for skin breakdown?

Lower average blood sugars also lessen the nerve and vessel damage that leads to ulcers and skin breakdown. “Control of diabetes has an effect on skin quality, quality of circulation, your perception of pain and other sensations and your ability to fight off infection,” said Garoufalis.

How can the elderly maintain skin integrity?

Skin Integrity Promotion Strategies The following are strategies to promote and maintain skin integrity: Moisturize dry skin to maximize lipid barriers; moisturize at minimum twice daily. Avoid hot water during bathing; this will increase dry, cracked skin. Protect skin with a moisture lotion or barrier as indicated.

What causes fragile skin in the elderly?

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.

Why would an elderly person be more prone to skin infections?

Why Are Seniors at Greater Risk? Skin infections aren’t fun and can affect different people in different ways. For example, changes to aging skin can make infections difficult to detect in the elderly. These changes to the skin and differences in reactions put seniors at higher risk for skin infections.

Alice Sparrow

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