Engaging the Person with a Lower Leg Skin Tear in the Wound Healing Journey: A Case Study

What is it about?

Background Skin tears are common acute wounds found among aging populations and most commonly occur over the extremities. Along with increased age, risk factors include general health, mobility and skin condition. The ageing of the world’s population means that the burden of skin tears will continue to increase; therefore, a focus on awareness, prevention and evidence-informed wound management is imperative. Aim To present a collaborative case study report of a patient in the community setting with a Type 1 skin tear. Method This case report includes the patient (Leslie) as a co-author, to bring the experience of the person in her own words to the forefront in her journey towards healing in a community setting. Results Leslie was unsure of how to care for her skin tear and felt frustrated by the variety of instructions and inconsistent approaches to her skin tear management. Decisions around her care were made without attention to her involvement. Leslie’s own words describe her experiences in the care of this initial acute wound that became hard-to-heal, but eventually closed. Conclusion This case study captures the impact of hard-to-heal skin tears on the individual and identifies gaps and opportunities in wound care provision. Clinicians can reflect on their care delivery models to ensure that they provide patient-centred care. Implications for clinical practice This case study may increase awareness among patients, providers, educators and policymakers of how we can better prevent and care for persons with skin tears and involve them in all aspects of care.

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