Perineal Care for Older Adults: Best Practices for Skin Health
What should a nurse do when an older adult's perineal skin appears dry and thin with mild excoriation?
a. Thoroughly scrub the skin with a washcloth and hypoallergenic soap.
b. Apply a skin protective lotion after perineal care.
c. Tape an occlusive moisture barrier pad to the patient's skin.
d. Massage the skin with deep kneading pressure.
Answer:
When an older adult’s perineal skin appears dry and thin, the best course of action is to apply a skin protective lotion after perineal care. This choice helps moisturize the skin and protect it from further damage, promoting healing.
Considering the question, when an older adult's perineal skin appears dry and thin with mild excoriation, the correct action for a nurse after providing hygiene after a bowel movement would be option b. Apply a skin protective lotion after perineal care. The reason for this is that the perineal skin, especially in older adults, can become very sensitive and prone to dryness and injury. Excessive scrubbing, such as with a washcloth and hypoallergenic soap (option a), could potentially cause further harm to the skin.
Similarly, option c, taping an occlusive moisture barrier pad to the skin, and option d, massaging the skin with deep kneading pressure, could both lead to further irritation of the sensitive perineal skin. Therefore, applying a protective lotion can help moisturize the skin, protect it from further damage, and allow it to heal.
This concept underscores the importance of gentle care and protection when dealing with sensitive areas like the perineum, particularly in the elderly. It is essential to prioritize skin health and prevent further damage by using appropriate products and techniques.