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Important Considerations in the Older Adult. Presented by: Mary E. Barna DPM, PA-C. Important Considerations in the Older Adult. Now to Early Intervention of Pressure Ulcers. Core Principles. Changes In The Skin That Occur With Normal Aging. - PowerPoint PPT Presentation
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Important Considerations in the Older Adult
Presented by: Mary E. Barna DPM, PA-C
Important Considerations in the Older Adult
Now to
Early Intervention
of
Pressure Ulcers
Core Principles
Changes In The Skin That Occur With Normal Aging
• Structural changes – Skin dryness, roughness, wrinkling, and laxity increase; skin elasticity decreases.
• Functional Changes - Skin barrier function, mechanical protection, sensory perception, wound healing, immunologic responsiveness, thermoregulation, and vitamin D production decline.
Changes in Wound Care with Increased Age
Skin Diseases That Cause Itchiness in Older Adults
Cutaneous Disease Examples Treatments
Inflammatory *Contact Dermatitis *Discontinue Psoriasis Causative agent *Topical steroids
Neurodermatitis *Lichen simplex *Many Treatments,chronicus including addressing
underlying psychologicalfactors
Papulonodular *Lichen planus *Topical steroids*Other treatments
Vesiculobullous *Bullous pemphigoid *Topical steroids*Other treatments
Skin Diseases That Cause Itchiness in Older Adults (Continued)
Cutaneous Disease Examples Treatments
Infection/Infestation *Candida *Topical therapies may *Folliculitis be adequate
*Scabies
Drug reactions *Discontinue causative agent
Urticaria *Discontinue causative agent
Other *Diabetic *Treat underlyingdermopathy condition
Changes that contribute to Xerosis in Older Adults
Epidermal *Stratum corneum intercellular lipids
*Slower turnover of cells
*Natural moisturizing factor in stratum corneum cells
Changes that contribute to Xerosis in Older Adults
Dermal *Number and function of sebaceous glands
*Number and function of sweat glands
*Number of blood
vessels
*Water movement from dermis to epidermis
Keys for Treating Dry Skin in the Older Adult
• Humidifier with relative humidity setting of 45% - 60%
• Room temperature should be as low as is comfortable
• Bathe with warm (not hot) water for 10 minutes daily
• No bath oils (risk of slipping in the tub)• Avoid harsh soaps and drying agents (such
as powders)• Use moisturizers twice a day (once after the
bath while the skin is still damp and again before bed.
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