Van Onselen J. Well-nourished and UV-protected skin exhibits remarkable resilience to intrinsic ageing (Tobin, 2017). Numerous ingredients are added to moisturizers to help protect, maintain, or repair skin integrity. Aging affects this system —oil-producing sebaceous gland activity declines steadily in postmenopausal women and in men age 70 years and older (a paradox relationship exists in the elderly where enlarged sebaceous glands have significantly decreased secretory activity). Clinicians use topical skin care products to prevent, treat, and maintain skin integrity. However, repeated or severe barrier disruption stimulates response cascades involving not only the desired epidermal response, but also inflammatory events in the deeper layers of the skin and the endothelium. is a problem, check with your health care provider about the use of barrier creams. Hence, appropriate assessment and management of the risk of falls in older adult patients are key … Skin care education should include teaching good cleansing practices: Dry skin can cause the skin to crack and lead to infection, which can cause serious problems for diabetics. Use of harsh soaps, detergents, solvents, and chemicals can worsen or cause the condition. Treatment includes use of medium- or high-potency topical steroids and emollients. Skin assessment and the use of washing products and emollients are discussed. Impaired skin integrity. Further questions can help identify the type of dry skin problem or eczema the patient is experiencing: The ability of the epidermis to restore its impaired barrier declines with age.6 In addition, seasonal variations in intercellular lipid levels and serum glucocorticoid levels within the stratum corneum may predispose the skin to winter dryness. … Although any part of the body can be affected, this condition is found most commonly on the lower legs of older people. The mechanical properties of foot orthotics help to ensure the correct positioning of the bones in the feet, ankles, and knees, People who consume the most fluids have a significantly lower risk of chronic kidney disease, according to a 2011 study. Decreased collagen production in chronically aged skin: roles of age-dependent alteration in fibroblast function and defective mechanical function.   • History of skin cancers or other chronic skin conditions Wayne, Pa: Health Management Publications, Inc.;1997;178–183. Many elderly suffer … Maintaining skin integrity equals maintaining skin health, and this includes people of any age. If you or your loved one is finding any skin texture changes, or experiencing any other skin conditions… consult your doctor for intervention and a care plan. Effects of oil and water baths on hydration state of the epidermis. Steering aging parents out of the driver’s seat is something most caregivers dread. In normal skin, they trap water; in chronic skin conditions (eg, eczema), these natural moisturizing agents are lacking. All Rights Reserved. In Our Care still care for seniors at home. Minor barrier disturbances remain local to the epidermis. The article examines general skin care for older people, skin barrier function and the skin changes associated with the ageing process. Wounds is a trademark of HMP.     Moisturizer types. A multitude of factors (including disease, diet, hydration status, and the external environment) cause alterations in skin barrier function, potentially inducing dryness, irritation, and itching. Also make sure to check for negative reactions between various drugs. Peters J. Eczema. 2 Clinicians need to focus on the assessment and management of the elderly with or at risk for impaired skin integrity. All older adults are at risk for skin integrity concerns and increased susceptibility for skin breakdown related to aging. When managing various degrees of dry skin, cleansers and moisturizes should be selected based on patient skin type, degree of dryness, desired outcome, application, removal of product, and cost. • Waterproof barrier that keeps moisture in and moisture out Common Senior Skin Conditions . Put non-slip strips on floors and steps to reduce risk of falls. Our commitment is to provide you with the specific services you need, through a reliable & compassionate care team. The axilla, groin, face, and scalp are usually spared. 2001;47(6):18–27. A pinch of ground turmeric into beaten eggs to add earthiness and cancer-fighting antioxidants to a veggie omelet. The skin is composed of two layers — the epidermis and the dermis, the latter secured to muscle and bone by connective tissue. Sebum, secreted by the sebaceous glands, maintains skin hydration by providing a protective lipid layer that minimizes fluid loss through the epidermis. Skin changes occur as a result of various physical and chemical injuries in every individual’s lifetime. 3 Dry skin and pruritus commonly occur without a visible inflammatory rash and are sometimes referred to as “winter itch” or “seventh age itch”. Let’s take a closer look at some common conditions, the principles of skincare in the elderly, and how to maintain skin integrity in the elderly. Shower or bathe using warm water as needed. Dermatol Ther. Aging also affects desquamation of the stratum corneum, which has a significant role in maintaining moisture of the skin. Make sure you are getting enough Vitamin A, C, E, K and minerals zinc, iron and copper. Humidifiers should be used to keep air moist.