When a tear results in the loss of more than 25 per cent of tissue, the aim is to use what remains of the skin flap. As exudate production decreases, desiccation of the wound must be prevented. A hydrogel dressing over the soft silicone net dressing can hydrate the wound .
Causes of Skin Tears in the Elderly If you’ve been wondering what causes skin tears in the elderly , they typically happen due to an accident. This can be something as simple as bumping into an object such as a bathroom door or cabinet in the kitchen. Skin tears can also happen when there is direct trauma to the skin .
An uncomplicated skin tear is an acute wound that will go on to heal within approximately 4 weeks.
Stage 1 – non-blanchable erythema. Stage 2 – partial thickness skin loss. Stage 3 – full thickness skin loss. Stage 4 – full thickness tissue loss.
Every skin tear should be treated as a potentially serious injury. For the type of wound shown in the video, changing the dressing every 3 to 5 days should be sufficient. If the wound is larger or deeper, or there is blood or a discharge oozing from the dressing, more frequent changes may be required.
Treatment Wash your hands. Control the bleeding. Gently clean the wound with warm clean water. Gently pat dry with a clean towel. If a skin flap is still attached, try to replace it by gently rolling the skin back over the wound . Cover the wound with a clean, non-stick pad.
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.
Etiology. The common causes of skin tears are shear, friction, or blunt trauma. Skin tears can occur on any part of the body, but are particularly common in populations with fragile skin , such as the elderly, chronic or critically ill, neonates and pediatrics.
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.
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.
How to speed up the wound healing process Get your rest. Recent research published in the Journal of Applied Psychology suggested that getting more sleep can help wounds heal faster . Eat your vegetables. Stay active. Don’t smoke. Keep the wound clean and dressed.
If you notice any of these signs of infection , call your doctor right away: expanding redness around the wound . yellow or greenish-colored pus or cloudy wound drainage. red streaking spreading from the wound . increased swelling, tenderness, or pain around the wound . fever.
Tissue re-growth It typically lasts around three weeks for minor wounds, and it’s the time when the body repairs broken blood vessels and replaces damaged tissues with healthy new ones. This new natural material is called granulation tissue, and it will be covered over with a new layer of skin .
The Category II skin tear is subdivided as scant tissue loss with 25% or less of the epidermal flap missing (Figure 4), and the moderate-to-large subcategory has more than a 25% loss of epidermal flap (Figure 5). The most severe Category III skin tear occurs with the loss of the epidermal skin flap (Figure 6).
The clinician must thoroughly assess the wound to determine the extent and depth of the damage. When assessing a skin tear , it is important to document the position of the skin tear ; pain levels; size of the tear ; description of the wound bed; level and appearance of exudate; and the integrity of the surrounding skin .