How to Prevent Skin Tears

21 Jun How to Prevent Skin Tears

Skin tears are often noted as a common problem in the elderly. As we age, our skin loses its elasticity resulting in increased vulnerability to tearing. This post aims to explain the most common ways skin tears occur as well as ways that seniors and their caregivers may prevent them.  

Why Skin Becomes More Fragile

Our skin is made up of three layers.  The middle layer, called the dermis, contributes to 90 % of our skin’s thickness.  The dermis provides elasticity, strength and flexibility to the skin.  The thick, fibrous tissue of the dermis contains collagen and elastin.  Therefore, when skin becomes more fragile, it is usually a result of the dermis thinning.  

Skin fragility also depends on other factors such as environment, lifestyle, habits, genetics, medications, and repetitive or traumatic movements just to name a few.

How Skin Tears Happen

The majority of skin tears happen as a result of some type of accident. It can be as simple as bumping into something like a wheelchair, doorframe, or a doorknob or even removing tape or a bandaid from an area of skin.  Other cases where skin tears are noted in the home are when caregivers are simply trying to assist their loved one in transferring from one surface to another. 

Skin tears can be painful and a source of stress for both the individual who has the skin tear as well as their caregivers, whom are caring for the injury.  For some people, skin tears are fairly straightforward and heal within a month or so, while other individuals may experience a more complicated skin tear, requiring treatment provided by a medical professional. 

Preventing Skin Tears

Skin tear prevention starts with awareness and daily skin check assessments. Note if the skin is dry, as moisturizing dry skin is an excellent way to provide a barrier and prevent skin tears.  Be aware of the types of dressings or bandages that are being used on the skin, while avoiding adhesives if possible. 

Proper hydration and good nutrition also aids in preventing skin tears.  Chronic dehydration causes skin to be more fragile. Referencing back to the fact that the dermis consists of collagen and elastin, high protein foods such as eggs, beans, and fish support collagen, which in return supports the skin’s tolerance to its environment.  

Lastly, be aware of you or your loved one’s environment.  Take note to whether or not doorframes are too narrow, resulting in bumps while maneuvering with a walker or wheelchair.  Make note of the leg rests on wheelchairs when transferring in and out. 

Try using a gait belt for transfers versus pulling on an individual’s arm to assist in standing or moving them. Finally, be sure to pay attention to the temperatures on car doors when going to and from medical appointments.  Hot car doors can be a source of new skin injuries.  

For more tips on how to solve common issues that come up for seniors and caregivers, visit Happily Ever After Senior Living. We provide a range of services designed to give caregivers and seniors the support they need. Reach out to us today!