Dress the wound with an atraumatic wound contact layer to keep the flap in place. The atraumatic dressing should remain in place for several days to allow the flap to adhere to the wound bed. Ensure that the atraumatic layer is removed in the direction of the skin flap, and not against it.
Try to avoid using adhesive bandages or medical tape unless absolutely necessary, as these can cause delicate skin to tear. If you must dress a skin tear, consider wrapping the wound in a petroleum-based gauze wrap that is non-adhesive, then securing the wrap with medical tape.
Here are some ways to impede infection in an elderly loved one with an open wound:
Home remedies 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.
gently pat the area dry using a clean towel or pad of tissues, but nothing fluffy such as a cotton wool ball – strands of material can get stuck to the wound. apply a sterile dressing, such as a non-adhesive pad with a bandage, or a plaster – use a waterproof dressing if available.
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.
Care must be taken, however, in patients with arterial insufficiency. The secondary dressing is changed daily until day three or four (when exudate decreases), after which it can remain in place until day six or seven. A protective dressing is then used for four or five days to protect the newly healed wound.
Once an older person’s skin is injured, the skin has a harder time healing properly as well. Aging and senescent immune cells cannot defend against bacteria, and the risk of serious skin infection rises. Then in the regenerative stage, slow rates of cell division translate into slow skin regrowth.
Common Causes and Mechanisms of Skin Breakdown Immobility, poor nutrition, incontinence, medications, hydration, impaired mental status, and loss of sensation are other culprits in skin breakdown. Mechanical injury develops from friction and shearing forces; this can take place while sitting or lying in bed.
Age-related differences in wound healing have been clearly documented. Although the elderly can heal most wounds, they have a slower healing process, and all phases of wound healing are affected. The inflammatory response is decreased or delayed, as is the proliferative response.
An uncomplicated skin tear is an acute wound that will go on to heal within approximately 4 weeks.
When the dead tissue is small, our body can naturally remove it by sending cleaning white blood cells called “macrophages” that produce protein-melting cleaning solutions (proteolytic enzymes). However, large amounts of dead tissue should be removed by other means to prevent infection and facilitate healing.
How to Prepare for a Wound Dressing Change
Cloth. Cloth dressings are the most commonly used dressings, often used to protect open wounds or areas of broken skin. They are suitable for minor injuries such as grazes, cuts or areas of delicate skin.
Making an emergency bandage