title: Intact skin--an integrity not to be lost.
abstract: Maintaining skin integrity can be challenging but it is vital to overall health, particularly in elderly patients. In this population, skin integrity is frequently compromised as a result of under- or over-hydration, which may cause serious complications. Plans of care must include preventive efforts such as the use of barriers and protectants including zinc oxide preparations, petrolatum- and silicone-based ointments and creams, liquid-forming products, adhesive dressings, fluid managers, skin cleansers, and moisturizers. A team approach that includes the patient, caregivers, and healthcare professionals is needed to address patient concerns regarding independence/dependence, utilization of support systems and services, pain, and control of body fluids. The healthcare provider's role in this team should emphasize continuity of care, patient satisfaction, and product selection - all vital to protecting skin integrity.
authors.affiliation: Department of Medicine, University of Toronto.
authors.forename: R Gary
authors.initials: RG
authors.lastname: Sibbald
authors.forename: Karen
authors.initials: K
authors.lastname: Campbell
authors.forename: Patricia
authors.initials: P
authors.lastname: Coutts
authors.forename: Douglas
authors.initials: D
authors.lastname: Queen
mesh_terms: D001458:Bandages; D003872:Dermatitis / Q000209:etiology / Q000517:prevention & control*; D003879:Dermatologic Agents / Q000627:therapeutic use; D004643:Emollients / Q000627:therapeutic use; D006801:Humans; D024802:Nurse's Role; D009730:Nursing Assessment; D009824:Ointments; D010347:Patient Care Planning; D018579:Patient Selection; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control*; D012307:Risk Factors; D017592:Skin Care / Q000295:instrumentation / Q000379:methods* / Q000451:nursing*; D014947:Wounds and Injuries / Q000209:etiology / Q000517:prevention & control*; D015034:Zinc Oxide / Q000627:therapeutic use
chemical_list: D003879:Dermatologic Agents; D004643:Emollients; D009824:Ointments; D015034:Zinc Oxide