Skin Care

Margaret Heale's picture
Skin care

By Margaret Heale, RN, MSc, CWOCN

In the United Kingdom, we are well into spring. As I look at the garden, there are patterns of growth literally cut into rock. Old stones with beautiful mosses, and next to a stone step, one type of rock plant has thrown up five stems and atop each is a bright red flower. The path has some wild strawberries growing up through it, and there are two bunches of well-established chives. It is a small plot on the outskirts of Newcastle, and as you walk down the road there are other gardens with similar flowers and weeds.

Hy-Tape International's picture
Neonatal skin

By Hy-Tape International, Inc.

Infants pose a major challenge for wound care professionals. Because neonatal skin is immature and thin compared with adult skin, it is more easily damaged and requires greater care. This makes it critical that health care professionals follow specialized best practices when caring for neonatal wounds to minimize skin damage and ensure optimal outcomes for patients.

Cheryl Carver's picture
Skin and Wound Management with Substance Abuse

By Cheryl Carver, LPN, WCC, CWCA, CWCP, DAPWCA, FACCWS, CLTC – Wound Educator

The challenges for all clinicians associated with substance abuse and addiction are at an all-time high. We are seeing more and more overdoses and skin and wound issues. There needs to be less judgment and more education. Not every person with substance abuse issues is addicted due to a poor choice. Reasons for abuse can be related to unmanaged mental illness, self-medication and family genetics, to name a few. Compassion is lacking for this group of folks. I have seen it firsthand. This topic hits close to home as I have a son in recovery. This problem is an epidemic and needs to be talked about more. I live in Ohio, and we are one of the top five states for heroin and methamphetamine (meth) abuse.

Heidi Cross's picture
Risk Factors for Unavoidable Ulcers

by Heidi H. Cross, MSN, RN, FNP-BC, CWON

According to the Agency for Healthcare Research and Quality, more than 17,000 lawsuits related to pressure ulcers (PUs) are filed annually in the United States, second only to wrongful death lawsuits. One of the greatest gifts to defense attorneys was when the Centers for Medicare & Medicaid Services (CMS) published F-Tag 314, finally acknowledging that some ulcers can occur despite best care. The facility essentially can maintain, “Hey, we did everything we were supposed to, and despite that, the patient developed that pressure ulcer”—that is, the ulcer was unavoidable. To prove unavoidability, proper documentation (proof) of best care needs to be in place, as well as documentation that all proper prevention and treatment measures were implemented.

WoundSource Practice Accelerator's picture
Pressure Injury

by the WoundSource Editors

Wound healing is a complex process that is highly dependent on many skin cell types interacting in a defined order. With chronic wounds, this process is disrupted, and healing does not normally progress. Although there are different types of chronic wounds, those occurring from injury, such as skin tears or pressure injuries, are some of the most common. These injuries are a result of repeated mechanical irritation. Moisture-associated skin damage is another condition that can contribute to chronicity. Understanding the causes and contributors to these injuries can help to minimize patients’ risk of developing them. It can also aid in the formation of an optimal treatment plan for when injuries do occur, which reduces the healing time and leads to better patient outcomes.

Ivy Razmus's picture
Age and Pressure Injury

By Ivy Razmus, RN, PhD, CWOCN

The very old and the very young are more alike than you might think when you consider risk for skin injuries. They are alike regarding their limited sensory perception, mobility, and activity. They are also alike in their potential for inadequate nutrition and their skin's supporting structures (muscle, collagen and elastin). These similarities place them at greater risk for pressure injuries.

Hy-Tape International's picture
Contact Dermatitis

by Hy-Tape International, Inc.

Contact dermatitis is a major concern for health care professionals involved in wound management. The condition can have a significant impact on patients' well-being and can lead to pain, increased risk of infection, and delayed wound healing. These issues can significantly affect both the costs of wound care and patients' outcomes. It is critical that health care professionals make reducing the risk of contact dermatitis a top priority by using safe and gentle wound care products and following wound care best practices.

Holly Hovan's picture
Peristomal Skin Complications

by Holly Hovan MSN, RN-BC, APRN, ACNS-BC, CWOCN-AP

As discussed in a prior blog, stoma location is certainly one of the key factors in successful ostomy management and independence with care at home. However, even with proper stoma siting, peristomal skin complications may occur for a variety of reasons. In this blog I discuss a few of the more common peristomal skin complications and tips for management.

WoundSource Practice Accelerator's picture

by the WoundSource Editors

Epidermis: the outer layer of the skin, which is the protective layer against the outside elements.

Epithelialization: the growth of the epidermis over a wound during the remodeling stage.

Granulation: condition occurring in a full-thickness wound where the growth of small vessels and connective tissue forms “scaffolding” as the wound rebuilds.

WoundSource Practice Accelerator's picture

by the WoundSource Editors

There has been extensive research on how to prevent skin care-related skin breakdown, and most research agrees on a few main components. Eliminating skin contact with sweat, urine, and stool reduces the risk of maceration and incontinence-associated dermatitis and thereby helps to prevent or minimize skin breakdown. Proper mattress selection and offloading devices are important for minimizing the impact of weight on bony prominences. Nutritional therapy is also a key component of maintaining skin integrity. This is because this therapy supplies nutrients that the body requires, as well as hydration. Turning, repositioning, and avoiding the impact of shear force when adjusting the patient are important to eliminate mechanical forces that can break down the tissue. Most importantly, having a consistent method to assess skin integrity and using a validated scale such as the Braden Scale for Predicting Pressure Sore Risk® (Braden Scale) are the most effective methods of tracking changes and implementing the necessary interventions based on the area or areas of deficiency.