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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.

References

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.

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