- occurs when friction and shearing forces cause tissue layers to slide across each other breaking blood vessels.
- examples of actions that can result in fragile tissue being abraided:
- sliding patients in bed
- aggravated patients moving in bed
- removal of adhesive dressings
Goals of treatment:
- to protect skin from further damage
- heal the wound
Things to keep in mind:
- patient's skin condition
- potential for further skin tears
- nurses must be mindful of transparent film on fragile and dehydrated skin. If you need to use transparent film, remember to remove using the "lateral pull" method.
- minimize use of tape and adhesive products
- avoid more friction and shear
- maximize nutrition and hydration
- Mepitel would be the suggested dressing* for this wound
- Place Mepitel directly on the wound bed and cover with dry gauze (abd pad if necessary for comfort)and kling or burn net
- Change gauze when saturated and change Mepitel every 5-7 days
- Mepitel is an inert, silicone based dressing that can stay in place for 7 days (the cover dressing can be changed if soiled)
- This is an ideal alternative to Sofratulle
* All suggested treatments and dressings in this web site were evidence based choices by the authors and by no means represent the only dressing option available.
return to Example Wounds & Dressings