Special Skin Care NATCEP Day Thirty

ObjectivesPractices related to:Prevention

ImprovementTreatment

Risk Factors• Need help moving or confined to bed or wheelchair• Altered mental awareness• Loss of bowel or bladder control• Poor nutrition or fluid balance• Problems sensing pain or pressure• Circulatory problems• Age-related conditions• Obese or very thin

Signs and Symptoms• Skin will be:• Reddened or discolored• Warm• Tender/painful/feeling of burning• Blister• Open areas• Pressure• Skin Tear• Damage may be underneath: skin will feel “mushy”

Locations Prone to Breakdown

Skin Tears• Causes• Friction• Shearing• Skin slides over muscle and bone causing friction, abrasion, and a decrease in circulation• Pulling or pressure on skin

Skin Tears• Prevention• Remove gloves before transferring• Follow agency policies related to nails & jewelry• Do not use any equipment that is broken or has sharp edges. REPORT!• Follow plan of care and safety rules to lift, move, position transfer, bathe and dress the person

General PreventionPosition & turn the resident every 2 hoursRemove the bedpan promptly!Keep linens and clothing wrinkle-free and free from excessive padding. Apply pressure-relieving devices per plan of careKeep head of bed 30 degrees or lower if allowed by care plan

Pressure Relieving Devices

Pressure Relieving Devices

Pressure Relieving Devices

Pressure Relieving Devices

General PreventionLift instead of sliding Check for sources and moisture every 2 hours and remove: incontinence, wound drainage, perspiration

Clean up urine or feces immediately.Wash and rinse skin; dry thoroughlyApply lotions or cream as indicated per the plan of care