Skin Tears in the Elderly

Spin, Mayara; Vocci, Marcelli Cristine; Sardeli, Kyara Marcondes; Serafim, Clarita Terra Rodrigues; Velozo, Bruna Cristina; Popim, Regina Célia; Castro, Meire Cristina Novelli e

doi:10.30886/estima.v19.1002_in

Cited by 5 publications

(9 citation statements)

References 26 publications

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“…The use of topical skin products, such as hypoallergenic moisturizers based on lactic acid or urea, twice-daily can halve the incidence of skin lesions, and the use of alkaline, antibacterial or perfumed soaps can alter skin's microbiome, so it is recommended to replace them with pH-neutral soaps, to use of lukewarm water and to reduce the duration and frequency of the bath, (bathing every two days is recommended), advocated by Spin et al. 14 This conclusion is also reached in Palmer's 15 article, stating that emollient therapy promotes general skin health and twice-daily application reduces the incidence of skin tears by 50%. The frequency of bathing should be minimized and only performed when necessary, with the use of pH balanced emollient products.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanisms of such improvements are unknown, but the intake of collagen peptides contained in oral nutritional supplements may stimulate the growth of skin fibroblasts and the synthesis of hyaluronic acid. Spin et al, 14 state that patients who present malnutrition, dehydration, and low levels of serum albumin are more prone to the appearance of lesions, as the body mass index contributes to the premature ageing of the skin. Therefore, and according to Spin et al, 14 for the prevention of skin tears in the elderly emerged four pillars of care: ▫ maintaining organic and tissue homeostasis with a focus on proper nutrition and hydration; ▫ avoiding trauma to aging skin, providing a safe environment with suitable devices; ▫ systematization of health care and education for elderly skin care.…”

Section: Discussionmentioning

confidence: 99%

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Nursing care in the prevention of skin tears in the elderly: integrative review of the literature

Tavares,

Olivença,

Vilas Boas

2023

Pensar Enf

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Introduction Skin tears are considered injuries of traumatic etiology that can result from a variety of mechanical forces, such as shear or friction forces, blunt trauma, falls, improper handling, injury caused by equipment or removal of adherent dressings. These are acute wounds that have a high probability of becoming complex chronic wounds. They cause pain, increase healthcare costs, reduce quality of life and are a source of stress for the person. They lengthen hospital stay and increase the risk of morbidities. Skin Tears are a growing problem, making it crucial to invest in this topic in order to promote their prevention and proper treatment. Objective To identify nursing care and strategies to prevent skin tears in the elderly. Methods A bibliographic survey of publications was carried out in the EBSCOhost search engine, which incorporates the CINAHL Complete, MEDLINE Complete and Cochrane Database of Systematic Reviews databases and in the PubMed database, carried out in June 2022. 26 records were returned, five meeting the inclusion criteria. The included studies (n=5) were carried out between 2012 and 2022. Results In the sample of articles, it was possible to identify the benefits of twice-daily application of topical products, moisturizing creams and emollients, and the relevance of oral administration for 8 weeks of an oral nutritional supplement in the hydration of the stratum corneum and in the elasticity of the skin, as well as the importance of primary prevention and the promotion of health education in elderly skin care. Conclusion Preventive care to avoid skin tears in the elderly focuses on the daily topical application of moisturizing creams and emollients, nutrition (administration of oral nutritional supplements with 10g of collagen peptides) and adequate hydration; to prevent cutaneous traumas by providing a safe environment with adequate devices, and through the promotion of health education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nursing care in the prevention of skin tears in the elderly: integrative review of the literature

Tavares,

Olivença,

Vilas Boas

2023

Pensar Enf

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“…A predominância de faixa etária média de 66 anos pode-se pressupor da idade avançada, resultando em uma fragilidade da pele, devido a mudanças nas estruturas da capacidade de proteção da pele relacionadas ao processo de envelhecimento, como a redução da camada lipídica, da sensibilidade tátil, da nocicepção, da resposta inflamatória e da capacidade de produzir colágeno (Spin, et al, 2021;Souza, et al, 2021).…”

Section: Discussionunclassified

“…A lesão por fricção (LF) ou skin tears é uma ferida que ocorre devido a um trauma mecânico, podendo ser um cisalhamento da pele, atrito ou um trauma sem corte (Torres, et al, 2016). Essas lesões têm como característica principal ser uma ferida rasa, na qual em algum momento da sua evolução há uma presença de um retalho de pele, podendo ser de espessura parcial (separa a epiderme da derme) ou de espessura total (separar epiderme das estruturas de base) (Spin, et al, 2021).…”

Section: Introductionunclassified

“…Diversas vezes a lesão por fricção passa despercebida por enfermeiros e pacientes, visto que é uma ferida rasa, que ocorre principalmente em membros superiores e inferiores de pessoas idosas (Strazzieri-Pulido, 2015;Spin, et al, 2021). Por esses motivos, há um aumento da dor, sofrimento, custos e do tempo de cicatrização dessas feridas visto que há falta de precisão diagnóstica e de compreensão das causas envolvidas afetando de maneira negativa a qualidade da assistência (Strazzieri-Pulido, 2015).…”

Section: Introductionunclassified

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Identificação do perfil do paciente com Skin Tears em internação hospitalar – contribuições para o planejamento do cuidado

Freitas

Santos²,

Devezas³

et al. 2022

RSD

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Objetivo: Identificar o perfil de pacientes com Skin Tears em internação hospitalar para subsidiar o planejamento do cuidado de enfermagem. Método: Estudo observacional, de corte transversal em um hospital de ensino do município de São Paulo. A coleta foi realizada nos meses de setembro de 2021 a abril de 2022, com análise quantitativa. Resultados: A amostra foi composta por 34 pacientes, com prevalência do sexo masculino, com média de 66,3 anos de idade, 44% internados em UTI com maior predominância de causa de internação por infecção. Neste estudo, 17 pacientes eram portadores de Hipertensão Arterial e 74,7% faziam uso de miscelânia de medicamentos cotínuo. Entre os pacientes, 79,4% possuíam edema, 41,2% realizavam hidratação corporal, 88,2% não deambuavam, 94% necessitavam de auxílio para mudança de decúbito e 26 pacientes estavam acamados. Os exames laboratoriais dos indicaram alterações na proteína C reativa, hemoglobina, hematócrito e plaquetas. O dispositivo médico de maior prevalência foi o catéter venoso central/diálise (64,7%), a lesão por pressão esteve presente 42 pacientes (123,5%) e a lesão por fricção de maior incidência, utilizando a classificação STAR, foi a da classe 1 a (23,5%), sendo na metade dos pacientes presente nos membros superiores (50%). Conclusão: No presente estudo foi possível identificar as principais características do paciente com Skin Tears e a necessidade da informação e aprimoramento do conhecimento pelo enfermeiro sobre esse tipo de lesão, a fim de evitar seu desenvolvimento através da prevenção e realizar o tratamento adequado.

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Scale of Injuries Risk Due to Xerosis in Hospitalized Elderly People: Development and Evidence Validity

Cruz,

Narciso,

Evangelista

et al. 2024

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: To describe the construction process and validation evidence of the risk assessment scale for the development of lesions associated with cutaneous xerosis in hospitalized elderly people. Method: Methodological study based on Pasquali’s psychometric validation through theoretical, empirical, and analytical analysis. Operationalization occurred in three stages: scope review, scale construction, and content validation by expertises. Results: The instrument is structured in 14 items, with an overall score ranging between 15 (low risk) and 53 (high risk), and presented a content validity coefficient of 0.926 based on the aspects theoretical relevance, theoretical dimension, clarity of language, and practical relevance. It also presented a general Cronbach’s alpha of 0.815, as well as a McDonald’s omega of 0.942, which reveals excellent internal consistency. Conclusion: The instrument showed evidence of validity and could contribute to nurses’ practice when integrating the skin care process for elderly people.

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Skin Tears in the Elderly

Cited by 5 publications

References 26 publications

Nursing care in the prevention of skin tears in the elderly: integrative review of the literature

Nursing care in the prevention of skin tears in the elderly: integrative review of the literature

Identificação do perfil do paciente com Skin Tears em internação hospitalar – contribuições para o planejamento do cuidado

Scale of Injuries Risk Due to Xerosis in Hospitalized Elderly People: Development and Evidence Validity

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