Potential for skin tears due to aging, fragile skin.

Description
Record Id: 358 Code: 00358
Aging often leads to ... Please Login or Join to access this information
References
LeBlanc, K., Baranoski, S., Christensen, D., Langemo, D., Edwards, K., Holloway, S., ... & Sibbald, R. G. (2017). International Skin Tear Advisory Panel: A tool kit to aid in the prevention, assessment, and treatment of skin tears using a Simplified Classification System ©. Advances in skin & wound care, 30(5), 215-224.
Ousey, K., Roberts, D., Skin Tears at A Glance. National Pressure Ulcer Advisory Panel. (2019). https://cdn.ymaws.com/www.npuap.org/resource/resmgr/white_papers/Skin_Tears_at_a_Glance_NPUAP.pdf
icon-outcomeOutcomes
Collapse/Expand
Will maintain skin integrity, ... Please Login or Join to access this informationRecord Id: 1630
Description Client to uphold ... Please Login or Join to access this information
Suggested days to Evaluation: 90
Rationale The outcome prioritizes ... Please Login or Join to access this information
Suggested Evaluation Date: 09/13/2026
Outcome References
LeBlanc, K., & Baranoski, S. (2016). Skin Tears: State of the Science: Consensus Statements for the Prevention, Prediction, Assessment, and Treatment of Skin Tears. Advances in Skin & Wound Care, 24(9), 2. doi: 10.1097/01.ASW.0000305412.10015.e5
Konya, C., Sanada, H., Sugama, J., Okuwa, M., Kamatani, Y., & Nakagami, G. (2019). Skin fragility in the elderly: A framework for understanding the pathogenesis of skin tears. Journal of Wound, Ostomy and Continence Nursing, 46(2), 175-180. doi: 10.1097/WON.0000000000000486
icon-actionActions
Collapse/Expand
Identify potential causative factors ... Please Login or Join to access this informationRecord Id: 2713
Description Healthcare professionals detect ... Please Login or Join to access this information
Rationale Identifying and fixing ... Please Login or Join to access this information
Collapse/Expand
Inform staff re causative ... Please Login or Join to access this informationRecord Id: 2714
Description Involves educating the ... Please Login or Join to access this information
Rationale Educating staff on ... Please Login or Join to access this information
Collapse/Expand
Protect from injury. Avoid ... Please Login or Join to access this informationRecord Id: 1799
Description Emphasizes safeguarding clients ... Please Login or Join to access this information
Rationale Preventing injury is ... Please Login or Join to access this information
Collapse/Expand
Keep nails short to ... Please Login or Join to access this informationRecord Id: 2715
Description Maintaining short nails ... Please Login or Join to access this information
Rationale Keeping nails short ... Please Login or Join to access this information
Collapse/Expand
Pad bed rails, wheelchair ... Please Login or Join to access this informationRecord Id: 2716
Description Padding bed rails ... Please Login or Join to access this information
Rationale Padding bed rails ... Please Login or Join to access this information
Collapse/Expand
Protective sleeves for arms ... Please Login or Join to access this informationRecord Id: 2718
Description Includes the use ... Please Login or Join to access this information
Rationale Protective sleeves for ... Please Login or Join to access this information
Collapse/Expand
If skin tear occurs, ... Please Login or Join to access this informationRecord Id: 2719
Description Involves appropriate treatment ... Please Login or Join to access this information
Rationale Proper treatment of ... Please Login or Join to access this information
Collapse/Expand
Document location, size and ... Please Login or Join to access this informationRecord Id: 2720
Description Entails recording the ... Please Login or Join to access this information
Rationale Recording skin tear ... Please Login or Join to access this information
Collapse/Expand
Apply moisturizer, topical skin ... Please Login or Join to access this informationRecord Id: 2434
Description Involves the application ... Please Login or Join to access this information
Rationale Applying moisturizer and ... Please Login or Join to access this information
Collapse/Expand
Encourage good nutrition and ... Please Login or Join to access this informationRecord Id: 2721
Description In promoting good ... Please Login or Join to access this information
Rationale Good nutrition boosts ... Please Login or Join to access this information