Transcript Care of Aging Skin and Mucous Membranes

Care of Aging Skin and
Mucous Membranes
Sandy Mishkin, RN, BC, MSN,
M.Ed.
©2008
Nursing Process for Impaired
Skin Integrity
 Assure
privacy and comfort.
 Follow a head-to-toe progression.
The Skin

Color
 Hydration
 Rashes, irritations
 Pigmentation
 Tissue integrity

Pressure Ulcers

Body hair
 Feet
 Nails
Pressure Ulcers
 Risk
factors
 Immobility
 Inactivity
 Incontinence
 Malnutrition
 Diminished
sensation
 Decreased mental status
 Impaired skin integrity
Pressure Ulcers
 Categorized
according to the
appearance and depth of tissue
penetration
 Good nursing care essential for the
prevention of pressure ulcers
Assessment of the Oral
Mucous Membranes

Tooth decay, loose teeth, and lost teeth
 Periodontal disease


Status of dentures


Can cause irritation, inflammation, ulceration
Hydration


Gingivitis
Xerostomia-dry mouth
Leukoplakia-potentially precancerous
Assessment of the Oral
Mucous Membranes

Problems caused by

Vitamin deficiencies


Superinfections





Especially riboflavin, niacin, vitamin C
Caused by antibiotic therapy
Alcohol
Tobacco
Conditions affecting strength, coordination, and
cognition
Medications

Antiseizure medications-hyperplasia
References
 Wold,
G. (2004). Basic geriatric nursing
(3rd ed.). St. Louis: Mosby.