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What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review
Journal article   Open access   Peer reviewed

What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review

Jane O'Brien, Christina N. Parker, Ut Bui, Margaret MacAndrew, Jack Mitchell and Kathleen J. Finlayson
Wound Practice & Research, Vol.32(1), pp.25-33
2024
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CC BY-NC V3.0 Open Access
url
https://doi.org/10.33235/wpr.32.1.25-33View
Published VersionCC BY-NC V3.0 Open

Abstract

moisturisers prevention skin care skin integrity
Aim: To synthesise evidence regarding skin care to maintain skin integrity and prevent wounds. Methods: An electronic search of key terms (skin care or skin integrity) was undertaken of articles published between 1 January 2018 until 30 September 2023. A narrative integrative review synthesised results. Results: In all 73 articles met the inclusion criteria. The topics included cleansers, moisturisers, and/or barrier products (n=33), health service interventions related to skin care (n=15), and the impact of dressings on skin integrity (n=12). Eight encompassed multiple interventions, three examined self -management and two foot skin care. Conclusion: Strong evidence on skin management to prevent wounds is limited. Moderate evidence supported the use of mild, non -alkaline cleansers and low pH moisturisers with humectants to improve skin integrity and prevent skin tears; in addition to prompt cleansing, use of topical barrier leave -on products and absorbent products to prevent incontinence-associated dermatitis. The choice of prophylactic dressing is not a one -size -fits -all decision but rather a nuanced clinical decision that must consider the specific needs and circumstances of each patient. Use of person -centred care, evidence-based interventions by healthcare providers, and involvement of the interprofessional teams emerged as central themes of skin care for prevention of wounds.

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Dermatology

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#3 Good Health and Well-Being

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