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Skin failure in the acute care setting.

Publication: MedSurg Nursing
Publication Date: 01-MAR-09
Format: Online
Delivery: Immediate Online Access
Full Article Title: Skin failure in the acute care setting.(Preparing for Certification)(Report)

Article Excerpt
Skin is the largest organ of the human body and, like other organs, it can fail, especially in the geriatric population. The aging process results in a loss of fatty tissue, collagen, and skin elasticity, as well as a decrease in vascularity and sweat gland function (Langemo & Brown, 2006).

The acutely ill older adult is at even greater risk of skin failure as the body fights to provide more circulation to the diseased system. The elder with multiple co-morbid conditions is at increased risk for skin breakdown. Decreased mobility and malnutrition can lead to loss of fat and muscle mass. Nutrition and hydration are essential in the plan of care for older adult patients, as well as good hygiene and frequent turning and positioning to alleviate and redistribute the areas of pressure (Langemo & Brown, 2006).

A patient's skin integrity must be assessed...

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