SKIN INTEGRITY. Created by :. Ruth Bryant RN, MS, CWOCN Director, webWOC Nursing Education Program Partner, Bryant Rolstad Consultants, LLC Minneapolis, MN. REDUCING THE THREATS !. Skin Integrity: Reducing the Threats. Objectives:.
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1. Correlate normal skin anatomy with maintaining skin integrity.
2. Describe how the skin protects the body from threats to skin integrity.
3. Describe the threats posed by aging, soap, bathing, dry skin and skin tears.
4. Identify nursing interventions that reduce the threat to skin integrity.
Risk factors for developing skin tears:
How is bathing a threat to skin integrity?
What are the negative effects of hand washing?
Force and Friction
Washcloth material becomes harsh and rough because of frequent laundering in bleach.
Washcloth can transmit microorganisms to other body parts during bathing process and contaminate basin and surrounding environment.
Considerable force and friction is typically used to lather up the cloth and skin.
This amount of force or friction on the skin can be abrasive to the stratum corneum.
How can we provide care to the patient, bathe them and still “do no harm” to their skin?
Dr. Elaine Larson in 1999 stated that “… traditional hand washing practices warrant re-examination.”
With consideration of our ultimate responsibility to the patient to optimize the protective barrier function of the skin, it is reasonable to propose: “Conventional bathing techniques warrant re-examination.”