skin breakdown
Others
Patient was instructed on measures to protect the skin, such as, keeping the skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible caking and irritation.
SN instructed patient and caregiver on preventing skin tears. In terms of prevention, protective arm sleeves are helpful. The use of paper or gentle release tapes is also a better alternative to nylon tape, when it comes to sensitive or aging skin. In addition, it is important to routinely moisturize dry skin with an appropriate moisturize barrier. As we age, hydrating dry skin helps to replenish missing skin and keep skin healthy and intact. Oral hydration is important as well. Patient and caregiver verbalize understanding instructions given.
SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
SN instructed patient that diabetes may lead to skin problems that range from itching to infections that are hard to control. To reduce your chances for getting skin problems, take good care of your skin every day: Bathe daily with mild soap and lukewarm water. Apply a small amount of moisturizing lotion while your skin is moist. Avoid scratches, punctures, and other injuries.
Patient was instructed on the importance of skin integrity to prevent future complication: Massage reddened skin gently al least 3 or 4 times daily. Keep the skin clean and dry and after use a protective ointment or spray.
Patient was instructed on skin care. Keep the skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry the body well. (Pat the skin dry, do not rub). Check places where water can collect such as under the arms, between the legs and between the toes.
Patient was instructed on skin care. Keep the skin moist by using a lotion or cream after washed. Keep a bottle of lotion near the sink so to use it after washing the hands. But limit the products used on the skin to decrease the chance of having reaction.
Patient was instructed on skin care. Drinks lots of fluids, especially water to keep the skin moist and healthy. To prevent dry skin when the temperature drops, use a room humidifier to add moisture to heated, indoor air.
Patient was instructed on the importance of a good skin care which can prevent most pressure sores (bedsores) which develop in people who have already skin damage, who are mentally confused, who are bed bound or cannot turn side to side.