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Mar
20
2018
By Dr Dan Ewald
I am lucky enough to be part of the editorial/ writing group for the Handbook of Non-Drug Interventions (HANDI). The fun is that I get to review the evidence behind a host of non-drug interventions relevant to general practice.
One topic that made the cut, soon to be published in HANDI, is as simple as regular moisturiser use to reduce incidence of skin tears in the frail elderly by about 50%.
What to do: Twice daily application of a pH neutral, perfume-free moisturising lotion to arms and legs. Avoid lotion ingredients that cause irritation such as urea, sodium lauryl sulphate, fragrance.
The lotion used in the Australian trial is Abena® Skincare Lotion Unscented, which is commercially available for around $13 for 500 ml. However, other similar lotions may be used. The lotion should be pH neutral, contain a non-irritating humectant (eg. glycerine), contain an occlusive agent (eg. paraffin or plant oil).
Similar available lotions include Cetaphil® Moisturising Lotion, Cetaphil® Daily Advance Lotion, Alpha Keri® Skin Moisture Boost Lotion and QV® Skin Lotion.
This is cost-effective, simple therapy that could be considered for any patients at risk of skin tears.
References:
Carville K, Leslie G, Osserian-Moisson R, Newall N, Lewin G. The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tears. Int Wound J 2014;11(4):446–53.
LeBlanc K, Kozell K, Martins L, et al. Is twice daily skin moisturizing more effective than routine care in the prevention of skin tears in the elderly population? J Wound Ostomy Continence Nurs 2016;43(1):17–22.
Hunter S, Anderson J, Hanson D, et al. Clinical trial of a prevention and treatment protocol for skin breakdown in two nursing homes. J Wound Ostomy Continence Nurs 2003;30(5):250-258
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Healthy North Coast acknowledges the traditional custodians of the lands across our region and pays respect to the Elders past, present and emerging. We recognise these lands were never ceded and acknowledge the continuation of culture and connection to land, sky and sea. We acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First Peoples and honour the rich diversity of the world’s oldest living culture.
Update provided 21 April 2022.
As you know, Lismore Skin Clinic in Molesworth Street was destroyed in the recent floods, and we are trying to rebuild the site as soon as we can.
In the meantime we will be moving to St Vincent’s Hospital Specialist Medical Centre – Level 4, Suite 12 – 20 Dalley Street Lismore.
We hope to be up and running in the next two weeks (by early to mid May 2022) and our receptionists will soon begin calling our patients to rebook their appointments and catch up with their needs.
Once we have a firm opening date we will update this notification.
Our email address – [email protected] and our phone number – 02 6621 3500 will remain the same as in the past. Only the address changes for a while.
We look forward to seeing you soon in our new premises.
Many thanks for your patience and understanding in these heartbreaking times – stay safe.
Dr Gudmundsen and the Team from Lismore Skin Clinic
Nigel Cronin
Senior Manager, Education
[email protected]
0437 169 786
02 6627 3390
Based on Bundjalung Country in Lismore
Bronwyn Thirkell
Centre for Healthcare Knowledge & Innovation and Education and Events Coordinator NNSW
[email protected]
0437 027 751
02 6618 5445
Based on Bundjalung Country in Ballina
Krissi Devlin
Education and Events Coordinator MNC
[email protected]
0447 407 473
02 6659 1808
Working days: Monday Thursday.
Based on Gumbaynggirr Country in Coffs Harbour
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