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Caregiving: Skin Care for Immobile Adults

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As we get older, our skin gets thinner and drier, so it is easier to damage. The chance of skin damage is higher for people who can't move much, or who spend most of their time in bed or in a wheelchair. The skin can develop rashes and sores, especially pressure injuries (also called pressure sores). These injuries are caused by constant pressure, which can limit the blood supply to the skin.

Skin also can be damaged by sweat, feces, or urine, making pressure injuries more likely and harder to heal.

You can help protect the skin of the person you're caring for by checking it every day and by being careful when cleaning it.

Checking the skin for problems

Check the person's skin every day for pressure injuries, especially around bony areas. It's easiest to do this when you help the person bathe and dress. The most common places for these problems are the back of the head and ears, the shoulders, the elbows, the lower back and buttocks, and the hips. Pressure injuries also can form on the inner knees and the heels.

When a pressure injury forms, the skin temperature can be different than nearby skin. It might be warmer or cooler. The skin can also feel either firmer or softer than the rest of the skin.

Also look for rashes, especially in the groin area. This is very important for people who have problems controlling their bladder or bowels, or who wear adult protective underwear.

Let the person know why you're checking the skin. Keep their body covered except for the area you are checking. This will help them stay warm and also may help them feel more comfortable.

  1. As people age, their skin becomes thinner. Drawings of a cross section of thicker skin and thinner skin
  2. Rashes can develop in folds of skin on the torso, and in the creases of the armpits, elbows, and groin. Places on the torso and groin where rashes are common
  3. Rashes can develop in the areas around the knees, ankles, and toes. Places on the legs and feet where rashes are common
  4. Rashes can develop in the groin and anal areas. Rash areas around the anus, under the scrotum, and the inside of the legs where the legs join the body

Preventing pressure injuries

You can help prevent pressure injuries by carefully turning the person every 2 hours. It relieves the pressure that can be placed on an area of the body when a person doesn't move for a long time.

Let the person's doctor know if you see pressure injures. The doctor or nurse may give you some advice about how to treat minor sores at home. Serious sores need more medical treatment.

You may be able to use devices that help prevent pressure injuries. These include special cushions and mattresses. But they don't take the place of turning the person.

Keeping the skin healthy

Keeping the person's skin clean and moisturized can help keep their skin healthy.

Credits for Caregiving: Skin Care for Immobile Adults

Current as of: May 4, 2022

Author: Healthwise Staff
Medical Review:
Kathleen Romito MD - Family Medicine
Gayle E. Stauffer, RN - Registered Nurse

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