skin tears in the elderly

Skin Tears in the Elderly: How to Protect Fragile Aging Skin in Dubai

As we age, many physiological changes happen in the body, often increasing the risk of developing certain health problems related to aging. Skin tears in the elderly are among the most common issues many people face as they get older, due to several reasons that can be easily addressed with proper medical care services.

What Are Skin Tears?

Skin tears in the elderly are common, very painful, and slow-healing wounds caused by a tear in the skin due to partial or complete separation of the layers of the skin. The reason the elderly are particularly susceptible to these stubborn wounds is due to the decrease in skin thickness and elasticity with age, the decline in dermal regeneration, and many other factors.

Why Are Elderly People More Susceptible to Skin Tears?

Elderly people are indeed more susceptible to skin tears for several reasons; the most prominent factor is that as the body ages, skin layers become thinner, lose elasticity, and have less structural support, making them more susceptible to injury and wounds.

Common Causes of Skin Tears

The common causes of skin tears in the elderly that are related to aging include:

  • Decreased collagen and elastin production, which reduces skin elasticity and makes it susceptible to cracks.
  • Thinning of the walls of arteries and blood vessels, leading to poor circulation and reduced blood flow to the extremities.
  • Skin sagging in the elderly and decreased efficiency of some glands in the body, such as sweat and sebaceous glands.

However, some other causes aren’t related to aging, such as:

  • Exposure for long periods to harmful sun rays, such as UVA and UVB rays.
  • Treatment with certain medications that may cause skin thinning (such as corticosteroids, chemotherapy, and radiotherapy).
  • Some medical conditions that affect wound healing include diabetes.
  • Poor mobility and cognitive impairment, which some elderly people suffer from, can lead to falls, accidental injuries, and self-injuries.
  • Malnutrition and low water intake lead to dehydration, skin cracks, and subsequently, skin tears
  • The fragile skin of premature newborns can sometimes lead to skin tears.

Risk Factors for Skin Tears

The common risk factors of skin tears in the elderly include: 

  • A family history of dry skin, tears, and other skin problems.
  • Certain underlying and chronic diseases.
  • Difficulty with mobility and poor vision, leading to an increased risk of falls and injuries.
  • Some research indicates that skin tears are more common in females.
  • Poor nutrition, lack of daily hydration, and frequent skin dryness and infections.

Skin Tears in the Elderly

Skin tears in the elderly, those annoying and painful wounds, are among the most common problems that scientific and medical research seeks to address through the development of specialized treatment mechanisms. These mechanisms aim to help treat these tears, prevent them as much as possible, and alleviate the accompanying pain.

Identifying and Assessing Skin Tears

Identifying and evaluating skin tears requires consulting a specialized dermatologist to do a physical examination and using the approved screening and assessment tools that help in assessing the case. 

Often, the doctor relies on the STAR or STAP classification system to assess the wound and determine the severity of the wound, the degree of tearing, and the degree of skin tissue loss, thus developing an appropriate treatment plan later.

 

Types of Skin Tears

 

Types of Skin Tears

The International Skin Tears Advisory Panel (ISTAP) has classified these skin tears into three types, as follows:

Type I: No skin loss

Here, the skin tears are linear tears or skin folds that can be repositioned to cover the wound and heal as much as possible.

Type II: Partial Tissue Loss

In this type of skin tear, the tissue loss is so extensive that only a small portion of skin tissue can be repositioned over the wound surface to cover it, thus reducing the risk of infection and relieving pain as much as possible.

Type III: Total Tissue Loss

In these skin tears, there are no tissue fragments or flaps attached to the wound, but only an open wound surface. Unfortunately, these are the worst and most dangerous types of skin tears, as they are accompanied by excruciating pain and are susceptible to infection.

How to Manage Skin Tears in the Elderly

Following best practices for skin tears in the elderly helps greatly in achieving good outcomes. The most prominent of these practices is to clean the skin tear regularly with sterile water or saline solution only, and if possible, gently straighten the skin fold and bring the edges as close to the tear as possible.

Skin Tear Wound Care

If you are facing difficulties when caring for skin tears on your own, you can request home nursing services in Dubai from Lana Life Care to receive the appropriate care with precision and professionalism that ensures health and safety. The skin tear wound care service usually includes cleaning, caring, covering, and monitoring the wound until healing.

Choosing the Right Wound Dressing

Among different types of wound dressings, you must choose the appropriate dressing for the type of skin tear. The basic dressing should not have a strong adhesive and should be made of soft silicone that is in contact with the wound to remain in place for days if possible.

Should a Skin Tear Be Covered or Uncovered?

The skin tears should be covered to enhance faster and safer wound healing, as it provides a moist and appropriate environment that is crucial for cell regeneration, whereas leaving the wound open without covering makes it vulnerable to dryness and infection, and delays the healing process.

Why Is My Skin Tear Not Healing?

This may be due to a lack of proper healthcare, exposure to contamination, or the ongoing causes of the tear, such as the continued use of certain medications that cause it or the failure to treat certain medical conditions that affect the integrity of the skin. It may also be a type III skin tear, which is difficult to heal and takes a very long time due to the lack of a skin flap around the tear.

How to Prevent Skin Tears in the Elderly

The most important means of preventing skin tears is to assess the condition of elderly people who are at greater risk of developing skin tears, such as those with chronic and underlying diseases and those undergoing treatments that reduce the integrity and health of the skin and weaken it, to provide them with the most appropriate treatment and preventative measures.

In addition to the necessity of making some changes in the elderly’s lifestyle to reduce external risk factors, such as helping them move from one place to another, not leaving them sitting in bed for long periods, and providing professional elderly care at home to meet all their personal needs and protect them from falls and injuries.

Maintaining Healthy Skin and Preventing Tears

Maintaining healthy skin is the safest way to prevent skin tears in the elderly. To achieve this, you can follow these practices:

  • Maintain a healthy diet by developing a diet suitable for the elderly, ensuring it contains sufficient vitamins, minerals, and nutrients to support skin health.
  • Hydrate your body by drinking sufficient amounts of water daily, consuming additional fluids between meals, and reducing your intake of caffeinated beverages.
  • Avoid frequent showering, as it reduces the skin’s natural oils, which can exacerbate the dryness that accompanies aging.
  • Use an appropriate moisturizer twice daily, especially on your hands and legs, to hydrate the skin and slow dryness as much as possible.

 

 

When to Visit a Wound Care Center

 

When to Visit a Wound Care Center

Although requesting Home Healthcare in Dubai such as home nursing services specialized in providing appropriate healthcare for skin tears ensures the patient great comfort, safety and security, especially since Elderly Care Cost is not as expensive as some think, but, sometimes, it is better to visit a medical center or hospital to provide first aid to the patient; especially when skin tears are exposed to infection and contamination, that may lead to serious complications.

Home Nursing Support for Skin Tear Management in Dubai

As you know, at Lana Life Care, we are committed to providing all types of professional and reliable home healthcare services through highly skilled, experienced, and DHA-licensed nurses and healthcare providers.

Because we are aware of the importance of elderly care, especially for those with skin tears, we provide them with specialized nursing care to help them manage and care for the wound, while providing all means of health and personal support to the patient to promote fast recovery.

Although our services adhere to the highest standards of quality, health, and safety, our Elderly Care Cost Per Hour is very reasonable and competitive.

Feel free to contact us now. Get a free, specialized consultation and book a home nursing service that ensures a safe, secure, and complication-free recovery from skin tears.

FAQs

Skin tear first aid at home?

Cleaning the skin tear with saline solution and covering it with a sterile and suitable dressing.

Are skin tears serious in old age?

It can be serious if the skin tear is exposed to severe dryness and infection.

Do skin tears heal on their own?

In fact, it requires some practices to heal, especially cleansing and covering, besides following a healthy lifestyle.

Best dressing for a skin tear?

Silicone and soft dressings are more suitable 

How long do skin tears take to heal in the elderly?

Typically, skin tears may take 2 to 3 weeks to heal

Skin tears won’t heal elderly?

No, skin tears in the elderly can be healed, but it may take a longer time for complete healing.a

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