Measures that patients living in the community can take for the prevention and treatment of skin tears: A comprehensive review of the literature

What is it about?

Background Skin tears are acute injuries caused by the separation of the skin layers due to shear forces, friction or blunt trauma and are quite common. A crucial role in reducing the occurrence of skin tears and their severity lies in the promotion of skin health and the prevention of skin lesions, especially in individuals with sensitive skin. Aim To find measures for the prevention and treatment of skin tears that patients can take in the community. Review methods Four electronic databases were searched: PubMed, Embase, CINAHL (EBSCO interface) and Web of Science. The search string combined index terms and words related to skin tears, prevention and management. Studies reporting on the prevention and management of skin tears in adults were included. Articles published before 2011 were excluded. The quality of articles was assessed using the Critical Appraisal Skills Programme (2019) for systematic reviews, the SIGN methodology checklist for randomised controlled trials and the AGREE II tool for consensus documents and best practice standards. Eight studies were included. Results Articles reviewed provided numerous prevention and treatment measures: emollient therapy, bathing regimen, protective clothing, nutrition and hydration, polypharmacy, mobility and education. Conclusion We found a limited body of knowledge, with studies contributing to best practices, prevention and management strategies and the prevalence of skin tears in older, community-dwelling adults. Implications for clinical practice Elderly people living at home, especially those at high risk for skin tears, should be encouraged to participate in the prevention and treatment of skin tears.

Featured Image