Skin Tear Risk Reduction Program

Risk Factor	Individual	Caregiver/Provider
General Health	Educate patient on skin tear prevention and promote active involvement in treatment decisions (if cognitive function not impaired) Optimize nutrition and hydration	Safe patient environment Educate client +/circle of care/caregivers Protect from self-harm Dietary consult if indicated Extra caution with extremes of body mass index (<20 or >30 kg/m2) Review polypharmacy for medication reduction/optimization
Mobility	Encourage active involvement if physical function not impaired Appropriate selection and use of assistive devices	Daily skin assessment and monitor for skin tears Ensure safe patient handing techniques/equipment and environment (trauma, ADLs, self-injury) Proper transferring/re-positioning initiate fall prevention program Remove Clutter Ensure proper lighting Pad equipment/furniture (bed rails, wheelchair, etc.) Avoid sharp fingernails/jewelry with patient contact
Skin	Awareness of medication-induced skin fragility (eg. topical and systemic steroids) Wear protective clothing (shin guards, long sleeves, etc.) Moisturize skin (lubrication and hydration) Keep fingernails short	Individualize skin hygiene (warm, tepid, not hot water; soap-less or pH-neutral cleaners; moisturize skin) Avoid strong adhesives, dressings, tapes Avoid sharp fingernails/jewelry with patient contact
Healthcare setting	Implement a comprehensive skin tear reduction program Include skin tears in audit programs Utilize validated classification system Develop consultation team (would care/dietary specialists, rehab/pharmacists)