Skin integrity in older adults: pressure-prone, inaccessible areas of the body

2020 ◽  
Vol 25 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Drew Payne

Good skin integrity is vital to good health because the skin acts as a barrier to microbes and toxins, as well as physical stressors such as sunlight and radiation. It is well known that the skin loses integrity with the ageing process, and this makes older adults susceptible to pressure injury. Additionally, older skin takes longer to heal where there are injuries or breaks. This article looks at what skin integrity is by briefly outlining the physiology of the skin. It discusses how skin integrity can be impaired, what can be done to maintain skin integrity and skin health, and why skin integrity is important for pressure ulcer prevention. Some of the factors that can make skin care difficult are discussed, in addition to the role of community nurses in helping patients engage in skin care. The article outlines how community nurses can identify when there is skin integrity risk or damage and support patients and carers or relatives, in maintaining skin integrity.

2009 ◽  
Vol 22 (5) ◽  
pp. 212-221 ◽  
Author(s):  
Becky Dorner ◽  
Mary Ellen Posthauer ◽  
David Thomas

Geriatrics ◽  
2019 ◽  
Vol 4 (4) ◽  
pp. 61 ◽  
Author(s):  
Lai San Kong ◽  
Farida Islahudin ◽  
Leelavathi Muthupalaniappen ◽  
Wei Wen Chong

Antibiotics are commonly prescribed among older adults, and inappropriate use of antibiotics has been noted. However, there is limited information about their knowledge and expectations for antibiotics. This study aimed to assess older adults’ knowledge of antibiotic use and resistance, their expectations for antibiotics and the relationship between knowledge, expectation and inappropriate practices related to antibiotic use. A cross-sectional survey involving respondents aged 60 years and above was conducted, using a validated questionnaire. A lack of knowledge about the role of antibiotics was observed, whereby more than half of the respondents incorrectly believed that antibiotics can treat viral infections (53.5%) and colds and coughs (53.7%). Also, 67.9% of respondents incorrectly believed that antibiotic resistance occurs when the body becomes resistant to antibiotics. Almost half of the respondents would expect antibiotics for symptoms of self-limiting viral infections. Respondents who answered correctly for the role of antibiotics in viral infections were more likely not to expect antibiotics for cold, flu and cough (p < 0.001). Respondents who answered correctly regarding the need to adhere to antibiotics were more likely to have completed their antibiotic course (p < 0.001). Future educational initiatives should provide key information on the role of antibiotics and the importance of complying with antibiotics in this population.


2012 ◽  
Vol 512-515 ◽  
pp. 1656-1659
Author(s):  
Se Kou Singare ◽  
Shou Yan Zhong

custom contoured cushion, pressure ulcer prevention, pressure distribution, CAD/CAM Abstract. In the rehabilitation engineering area, the pressure ulcer prevention is an important and healthy problem, especially for people with the spinal cord injured (SCI). This paper aim to develop a computer aided design and computer aided manufacture (CAD/CAM) method to manufacture custom cushions to prevent pressure ulcer. A pressure sensor mat is placed between the body and flat polyurethane (PU) foam to measure the pressure distribution at the buttock-cushion interface. Based on the load-deformation characteristics of the foam material, this pressure distribution is converted into the corresponding deformation contour of the foam. Finally, the deformation data was processed and edited using Rhino 3D surface modelling software to create the CAD model of the custom contoured cushion. Then, the CAD data are transferred into CNC milling machine to manufacture the custom contoured cushion.


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