Skin Conditions/Skin Care

Martin Vera's picture
anatomy of the skin, the body's largest organ

by Martin D. Vera, LVN, CWS

On our last encounter we discussed wound bed preparation and the TIME framework. What I wish to accomplish with this post is to make it easier to understand the skin, the changes it undergoes as we age, and pave the way for the phases of wound healing—all of which are essential in becoming a better clinician.

Cheryl Carver's picture
fungi candida albicans 3D

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

It doesn't matter where exactly I am educating, I see it everywhere: the vicious cycle of chronic intertrigo and/or candida infections (candidiasis) of the skin in the long-term care arena. Skin and soft tissue infections are the third most common infection in long-term care.

Aletha Tippett MD's picture
dry skin and pressure ulcers

by Aletha Tippett MD

The other day I received a phone call from a dear physician friend of mine who works tirelessly in the field of pressure support and pressure ulcer prevention. He had been talking to some older nurses who told him that "in their day" they kept their patients lubed up and never had a skin problem. He knows that I advocate vigorous skin lubrication and sought guidance.

Cheryl Carver's picture

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

Being an independent wound care education consultant in long-term care, I get a lot of questions regarding moisture-associated skin damage (MASD). Is it MASD or a pressure ulcer? When do I change it from MASD to pressure ulcer in my documentation?

Laurie Swezey's picture
maceration of periwound skin

by Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

A wound that is too moist can be as detrimental to wound healing as a wound that is too dry. When a wound is too moist, the skin surrounding the wound, known as the periwound, can become macerated. Skin that is macerated is vulnerable to breakdown, leading to a possible increase in wound size.

What can be done to protect the vulnerable periwound? There are several prevention strategies that can be used to prevent maceration and further skin breakdown.

Laurie Swezey's picture
Skin moisture

by Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Bariatric patients present a special challenge in terms of skin care and prevention of pressure ulcers. Once damage to the skin occurs, bariatric patients heal more slowly due to decreased vascularity of the skin and reduced perfusion of adipose tissue. Bariatric patients are at high risk for acute wounds, pressure ulcers, venous ulcers, non-healing surgical wounds and diabetic wounds of the foot.

Laurie Swezey's picture

by Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

This article is designed to provide a review of cellulitis, an infection affecting the skin which can be life-threatening if not treated.

What is cellulitis?

Cellulitis is the term used to describe inflammation of the skin and subcutaneous tissues, most often caused by acute infection. The two most common pathogens associated with cellulitis are Streptococcus pyogenes and Staphylococcus aureus.