Week 2 Integumentary Aging of the Skin Flashcards
what are some normal skin changes with aging
thin, less elastic
decreased vascularity
flattening of rete pegs
decreased fibroblasts and loss of sub-q fat
what types of cells are decreased with aging
langerhans (50% by age 80- altered immunity) and melanocytes (8-20% every 10 years after 30)
blood vessels and aging
thinner and more fragile
oils and sweat and aging
decreased
nerve function
deceased ability to thermo-regulate and an increased pain threshold
what is skin more susceptible to
skin shearing and separation of layers
what is integumentary aging further exacerbated by
meds, nutrition, organ failure, disease like DM, vascular compromise, for nutrition
what are some general prevention things we want to do with people with skin issues
nutrition and hydration (decrease risk for skin issues)
environment at 40% humidity
control cormorbidities
moisturize skin
bathing with integumentary compromise
- avoid bar goals and use a gentle moisturizing liquid,
- soft cloths and cooler water temps
- moisturize within 3 minutes to trap moisture
- no fragrance lotions
- don’t over bathe (so 10 minutes daily or 2x/week)
what are skin tears
a wound caused by shear, friction and blunt force resulting in separation of the skin layers can be partial or full, and in chronicle ill people and in older folks, and neonates and pedi
what is the skin tear tool kit
ISTAP
skin tears occur with
turning, lifting, transfers and falls, sliding in bed with HOB elevated, blunt trauma like from a wheelchair
80% 0f tears of on what
the UE and hands
what do they look like
VARIABLE, linear, flap of epidermis, serous drainage.
treatment for skin tears
approximate edges if you can and realign the flap
non-adherent dressings, like foam, calcium alginate, adapt, tell safetac dressings, hydrogels.
