References

LeBlanc K, Baranoski S. Skin tears: state of the science: consensus statements for the prevention, prediction, assessment, and treatment of skin tears. Adv Skin Wound Care. 2011; 24:(9)2-15

LeBlanc K, Baranoski S, Holloway S, Langemo D. Validation of a new classification system for skin tears. Adv Skin Wound Care. 2013a; 26:(6)263-265

Skiveren J, Wahlers B, Bermark S. Prevalence of skin tears in the extremities among elderly residents at a nursing home in Denmark. J Wound Care. 2017; 26:S32-S36

Sussman G, Golding M. Skin tears: should the emphasis be only their management?. Wound Pract Res. 2011; 19:(2)66-71

Benbow M. Skin tears. J Comm Nurs. 2009; 23:(1)14-8

Koyano Y, Nakagami G, Lizaka S Exploring the prevalence of skin tears and skin properties related to skin tears in elderly patients at a long-term medical facility in Japan. Internat Wound J. 2016; 13:(2)189-197

Leblanc K, Christensen D, Cook J Prevalence of skin tears in a long-term care facility. J Wound Ostomy Continence Nurs. 2013b; 40:(6)580-584

Stephen-Haynes J, Carville K. Skin tears made easy. Wounds Internat. 2011; 2:(4)1-6

Bianchi J. Preventing, assessing and managing skin tears. Nurs Times. 2012; 108:(13)12-16

Carville K, Lewin G, Newall N STAR: a consensus for skin tear classification. Prim Intention. 2007; 15:(1)18-28

LeBlanc K, Baranoski S, Christensen D The art of dressing selection: a consensus statement on skin tears and best practice. Adv Skin Wound Care. 2016; 29:(1)32-46

Skin tears: causes and management

02 April 2018
Volume 2 · Issue 2

Abstract

Older people are more susceptible to skin tears than the rest of the population. In the residential setting, tearing a resident's skin can be distressing, both for the resident and the staff member, and in many cases it is unavoidable. This paper will discuss the risk factors for and causes and management of skin tears in the residential setting. It will consider how to minimise the risk of skin tears, as well as what dressings might be best used in treating them when they occur.

Skin tears are essentially a traumatic injury that results in there being either full or partial separation of the outer layers of the skin.1 The International Skin Tear Advisory Panel defines a skin tear as: ‘a wound caused by shear friction and/or blunt force resulting in separation of skin layers’.1

Skin tears are most often partial thickness; this occurs when the epidermis separates from the dermis. Occasionally, skin tears are full thickness, which occurs when the dermis and epidermis separate from the underlying structures. Skin tears can happen anywhere on the body where there is skin, but are most commonly found on the arms, legs and back of the hand.

Skin tears are often ignored or consider to be unimportant; however, they can become infected and increase the need for hospitalisation. In extreme circumstances, skin tears may be responsible for disruption of the blood supply to the skin, tissue death and even sepsis, potentially causing the death of the individual affected.

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