An Evaluation of Costs and Effects of a Nutrient-Based Skin Care Program As a Component of Prevention of Skin Tears in an Extended Convalescent Center

Groom, Marjorie; Shannon, Ronald J.; Chakravarthy, Debashish; Fleck, Cynthia A.

doi:10.1097/won.0b013e3181c68c89

Cited by 29 publications

(27 citation statements)

References 6 publications

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“…Caring for people with fragile skin is a challenge when a minor trauma can result in Skin Tear (ST) (1)(2)(3) . Although some researchers suggest that Skin Tear is more prevalent than pressure ulcers and burns (4)(5) , ST go unnoticed as they are shallow traumatic wounds, occurring mainly in elderly ends resulting from friction or a combination of friction and shear, leading to separation of the epidermis from the dermis (partial thickness wound) or completely separating the epidermis and the dermis from the underlying structures (total thickness wound) (6) .…”

Section: Introductionmentioning

confidence: 99%

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Skin tear prevalence and associated factors: a systematic review

Strazzieri-Pulido

Peres

Campanili

et al. 2015

Rev. esc. enferm. USP

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Objective: To identify and analyse skin tear prevalence and factors associated with its occurrence. Method: Systematic review of literature of studies published until June 2014 including studies published in full in English, Spanish or Portuguese. The studies were analysed according to the Strengthening the Reporting of Observational Studies in Epidemiology and the Guidelines for Critically Appraising Studies of Prevalence or Incidence of a Health Problem. Results: The analysis of eight studies showed skin tear prevalence of 3.3% to 22% in the hospital setting and 5.5% to 19.5% in homecare. Advanced age, dependence on basic activities of daily life, frail elderly, level of mobility, agitated behavior, non-responsiveness, greater risk for concurrent development of pressure ulcers, cognitive impairment, spasticity and photoaging were cited as risk factors. Conclusion: Skin tear prevalence ranged from 3.3% to 22% and is mainly associated with advanced age and dependence on basic activities of daily life.

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Section: Introductionmentioning

confidence: 99%

“…Simple measures such as the identification of patients at risk and the implementation of prevention protocols are proving to be effective to prevent ST or minimize its severity (12) . Researches (1,13) show that the occurrence of ST decreases as soon as an individual is identified at risk and preventive measures are implemented.…”

Section: Introductionmentioning

confidence: 99%

Skin tear prevalence and associated factors: a systematic review

Strazzieri-Pulido

Peres

Campanili

et al. 2015

Rev. esc. enferm. USP

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“…To resolve this uncomfortable situation, an effective strategy should be established for the prevention of skin tears. One prospective pre‐post intervention study investigated the cost effectiveness of a nutrient‐based skin care regimen for skin tear prevention among institutionalized elderly residents in an extended care facility . Another pre‐post intervention study showed a possible prevention strategy for skin tears, including staff education, skin sleeves, padded side rails, gentle skin cleansers and lotion use among elderly patients .…”

Section: Introductionmentioning

confidence: 99%

Incidence of skin tears in the extremities among elderly patients at a long‐term medical facility in Japan: A prospective cohort study

Sanada

Nakagami

Koyano

et al. 2014

Geriatrics Gerontology Int

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“…However, the tape should be gentle enough that removal should not cause skin trauma to the face and eyelids. Medical adhesive related skin injuries are estimated to impact at least 1.5 million patients annually in the US with significant costs per incident [5]. …”

Section: Introductionmentioning

confidence: 99%

Comparison of Medical Adhesive Tapes in Patients at Risk of Facial Skin Trauma under Anesthesia

Zeng

Lie

Chong

2016

Anesthesiology Research and Practice

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Introduction. Adhesive tapes are used for taping eyelids closed and securing endotracheal tubes during general anesthesia. These tapes can cause facial skin injury. We compared the incidence of facial skin injury and patient satisfaction with different tapes used. Methods. A total of 60 adult patients at risk of skin trauma were randomized to use 3M™ Kind Removal Silicone Tape or standard acrylate tapes: 3M Durapore (endotracheal tube) and Medipore (eyelids). Patients were blinded to tape used. Postoperatively, a blinded recovery nurse assessed erythema, edema, and denudation of skin. Anesthesiologist in charge also assessed skin injury. On postoperative day 1, patients rated satisfaction with the condition of their skin over the eyelids and face on a 5-point Likert scale. Results. More patients had denudation of skin with standard tapes, 4 (13.3%) versus 0 with silicone tape (p = 0.026) and in anesthesiologist-evaluated skin injury 11 (37%) with standard versus 1 (3%) with silicone (p = 0.002). No significant differences were found in erythema and edema. Patient satisfaction score was higher with silicone tape: over eyelids: mean 3.83 (standard) versus 4.53 (silicone), Mann-Whitney U test, p < 0.001; over face: mean 3.87 (standard) versus 4.57 (silicone) (p < 0.001). Conclusion. Silicone tape use had less skin injury and greater patient satisfaction than standard acrylate tapes.

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An Evaluation of Costs and Effects of a Nutrient-Based Skin Care Program As a Component of Prevention of Skin Tears in an Extended Convalescent Center

Abstract: The NBSC had a lower projected cost for prevention of skin tears and more skin-tear-free days when compared with non-NBSC products.

Cited by 29 publications

References 6 publications

Skin tear prevalence and associated factors: a systematic review

Skin tear prevalence and associated factors: a systematic review

Incidence of skin tears in the extremities among elderly patients at a long‐term medical facility in Japan: A prospective cohort study

Comparison of Medical Adhesive Tapes in Patients at Risk of Facial Skin Trauma under Anesthesia

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