Skin disorders

Abstract

The major function of the skin is protective. Other functions include heat regulation, sensation and body image. Gradual changes occur in the skin of the older person, especially the surfaces exposed to environmental and (less importantly for residents of the British Isles) solar trauma. A common health problem involving the integumentary system of the older person is often the development of decubitus ulcers (decubiti, pressure- or bed-sores). The purpose of this chapter is to guide the nurse to possible interventions for patients or clients with the nursing diagnoses of alteration in skin integrity, actual or potential. One guiding principle worth bearing in mind throughout what follows is this: You can put almost anything you like on a pressure sore — except the patient.