Older adults are at a higher risk because of the skin aging process. As skin ages, the junction between the epidermis and dermis thins and flattens, reducing circulation. Moisturizing factors in older adults also reduce, thus causing dry, flaky skin and increased risk of skin breakdown .
Skin breakdown starts out as a red or purple spot on fair skin or a shiny, purple, blue or darker spot on dark skin , which does not fade or go away within 20 minutes. When you press on the spot with your finger, it does not become lighter (blanch). It may feel warmer or cooler than the skin around it.
Symptoms Unusual changes in skin color or texture. Swelling . Pus -like draining. An area of skin that feels cooler or warmer to the touch than other areas. Tender areas .
A pressure sore (also called pressure ulcer, decubitus ulcer, decubiti (plural), bedsore or skin breakdown ) is an area of the skin or underlying tissue (muscle, bone) that is damaged due to loss of blood flow to the area. Blood flow to the skin keeps it alive and healthy. If the skin does not get blood, it will die.
Treat your skin gently to help prevent pressure ulcers. When washing, use a soft sponge or cloth. Use moisturizing cream and skin protectants on your skin every day. Clean and dry areas underneath your breasts and in your groin. DO NOT use talc powder or strong soaps. Try not to take a bath or shower every day.
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 .
Strategies for Preventing Skin Breakdown Patient Repositioning and Turning. Bedbound patients require regular turning and repositioning to prevent the formation of pressure injuries. Proper Skin Cleaning. Proper Nutrition and Fluid Intake. Assessment and Documentation. Staff Education.
Stage 1 sores are not open wounds. The skin may be painful, but it has no breaks or tears. The skin appears reddened and does not blanch (lose colour briefly when you press your finger on it and then remove your finger).
Treatments. The first step in treating skin breakdown is to release pressure on the affected area. Next, your care team will clean your wound, dress it and remove damaged tissue. In extreme cases, surgery may be necessary to remove broken-down tissue and prevent infection.
Extensive research has shown that moisture is best, so it’s important to keep your wounds covered. Using NEOSPORIN® First Aid Antibiotic Ointment , in addition to a bandage, kills all three of the most common skin bacteria to provide long-lasting infection protection.
Skin Infection Symptoms A red streak that runs from the cut toward your heart. A pimple or yellowish crust on top. Sores that look like blisters. Pain that gets worse after a few days.
The area has a crater- like appearance due to damage below the skin’s surface. Stage 4 . The area is severely damaged and a large wound is present. Muscles, tendons, bones, and joints can be involved.
Current IAD prevention strategies include cleansing, moisturising and the application of skin protectants or moisture barriers (Gray et al, 2002). Treatment includes protecting the skin from further exposure to irritants, establishing a healing environment, and eradicating cutaneous infections (Gray et al, 2002).
The wound can be painful, destroy tissue, fat, muscle and can lead to death. Pressure as small as 60 mm Hg. to a body surface for 1-2 hours initiates the process of skin breakdown . Shear, friction, moisture and chemical irritants exacerbate the process.
Stage 3 involves the full thickness of the skin and may extend into the subcutaneous tissue layer; granulation tissue and epibole (rolled wound edges) are often present. At this stage , there may be undermining and/or tunneling that makes the wound much larger than it may seem on the surface.