Trying to get ahead of the curve for a home care client with recurring skin tears on arms. Skin tears are often caused by poor transfers, sometimes an Aide and a family member will struggle with a transfer from bed to W/C, the client will struggle a bit to help or resist, and 1 cm to 2 cm skin tears on forearms and biceps recur weekly.
I'm an Private Duty Aide taking the case 7 days a week for a while to get family members and client comfortable with a daily routine including Hoyer use. Generally the goal is to just get some consistency/continuity of care and some overall improvement in aging in place.
Policy and care plan encourages bathing and moisturizing skin. When transparent film dressings, e.g., Tegaderm, Opsite, are already applied to wounds, how careful do I need to be with applying skin moisturizer to surrounding intact skin? Do I need to choose a non-oil-based moisturizer? Should I try to coordinate with the Wound Care nurse so that I don't apply moisturizer right before he/she arrives so dressings can adhere to the skin? I don't work for the Home Care Agency providing wound care so that may not be doable. Just how durable are transparent dressings when inadvertently exposed to skin care moisturizers.