Skin Care Fair Instruction Guide
Description: Changing position and controlling body position. Interventions:
Float the heels
Reposition at least every 2 hours for bed-bound residents; hourly for chair bound
Use pillows for support
Risk Factor: Nutrition
Description: USUAL food intake. Interventions:
Help to eat
Get foods they like (within their diet)
Offer fluids frequently (as diet allows)
Provide supplements as ordered
Risk Factor: Friction & Shear
Description: Ability to move without rubbing or dragging. Interventions:
Use lift sheet
Soft socks on feet
Long sleeves or elbow protectors
Keep the head of the bed at the lowest degree of elevation consistent with medical condition and other restrictions. Limit the amount of time the head of the bed is elevated.
Baranoski, S. Skin tears: Staying on guard against the enemy of frail skin. Nursing 2003, October 2003, 33(10), p. 14-20.
Bryant, R. Acute and Chronic Wounds Nursing Management. St Louis, Mosby Year Book, 113, 1992.