Skin tear risks associated with aged care residents: a cross-sectional study
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Background: To describe the profile of aged care residents and to examine those variables that were associated with skin tears. Method: A representative sample of 200 elderly residents were recruited into this cross-sectional study, which was conducted between February and December 2014 from four aged care facilities in Western Australia. The resident's history of skin tears over the preceding 12-months was compared with their demographics (age, gender, place of birth) and a. broad range of clinical characteristics including: body mass index, comorbidities, medications, smoking history, falls, and personal skin characteristics (purpura, ecchymosis, bruising uneven pigmentation, pseudoscars). Results: A history of skin tears was documented for 101 (50.5%) residents during the preceding 12-months. Residents with a skin tear history were significantly older, more likely to have a skin tear on initial assessment, had a lower Braden Scale score and a lower Braden sub-score for mobility, were at higher risk of falling, had osteoporosis, used a corticosteroid inhaler, and displayed both skin purpura (s 20 mm.) and ecchymosis (:2: 20 mm.). Conclusions: Aged care residents are at substantial risk of skin tears. Identification of factors associated with skin tears aids better understanding of risk factors and enables more effective targeted preventive strategies.
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Rayner, R.; Carville, K.; Leslie, Gavin; Dhaliwal, S. (2018)© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd The objective of this study was to construct a predictive model to identify aged care residents at risk of future skin tears. Extensive data about individual ...
Rayner, R.; Carville, K.; Leslie, Gavin; Roberts, P. (2015)Objective: Skin tears are the most common wound among the elderly and have the potential to cause infection, form chronic wounds, reduce quality of life and increase health-care costs. Our aim was to identify studies that ...
The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tearsCarville, Keryln; Leslie, Gavin; Osseiran-Moisson, Rebecca; Newall, Nelly; Lewin, Gill (2014)A cluster randomised controlled trial was conducted to evaluate the effectiveness of a twice-daily moisturising regimen as compared to ‘usual’ skin care for reducing skin tear incidence. Aged care residents from 14 Western ...