Cleaning aging skin
LTC Nursing Assistant Trainer, March 16, 2005
Bathing is a highly personal routine, which develops over an individual's lifetime and is based on culture, family practices, and personal preference. It is extremely important for us to determine the preferences of individual residents, and do our best to accommodate them, if possible. Additionally, elderly skin is more delicate and sensitive than the skin of younger adults and must be bathed differently.
As we age, the process of cell renewal slows. A layer of dead cells remains on the skin's surface for a longer period of time and results in a rough texture. There is a decrease in elasticity, causing the skin to sag and wrinkle. Natural oil production slows and the skin become more susceptible to tears and breakdown. Aging skin loses much of the fat layer beneath it, decreasing the body's ability to keep warm.
When you bathe your elderly residents, you need to consider these changes in their skin and adjust your procedure accordingly. To help compensate for changes in the skin due to the aging process, we can:
- Use a moisturizing, liquid cleanser, which is less harsh and drying than soap
- Pat the skin dry; do not rub, which can cause sheers and tears
- Apply lotion to dry areas
- Take the necessary precautions to prevent damage to the skin when moving or transferring residents
- Provide ample clothing, blankets, or towels to keep residents warm during bathing
Bathing gives caregivers an opportunity to examine residents' skin. Early detection and treatment of skin conditions can help prevent pressure sores and other problems. It can also greatly reduce unneeded discomfort for your residents. If you notice anything unusual while cleaning a resident's skin, report it immediately to your supervisor.
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