MANAGEMENT OF DESICCATED SKIN
NURSING DIAGNOSES: Impairment of skin integrity related to desiccation/dry skin.

NOTE: Fissuring and cracking of the skin may lead to deep ulceration, especially the extremities (hands, feet, legs). Decreased skin hydration reduces pliability; cracks may occur in the epidermis. Topical moisturizers facilitate skin hydration and reduce the incidence of breaks in the skin.

OUTCOME STANDARDS:

• To attain soft pliable skin.
• To prevent ulceration when broken skin occurs.

• Assessment
  • Examine the skin daily for areas of dry, flaky or scaling skin.

• Intervention
  • Educate the patient/family regarding the importance of maintaining soft, pliable skin.
    
    
  • Gently massage all areas of dry, cracked or broken skin at least every twelve hours (q12h) with moisturizers (i.e., Lantiseptic Therapeutic Cream or Lantiseptic Skin Protectant).
    
    
  • If areas of broken skin are on the hands, apply moisturizer after each hand washing. Every eight hours (q8h) if bedridden patient.
    
    
  • If broken skin occurs on the feet, apply moisturizer every eight to twelve hours (q8-12h). White socks are indicated. If the patient has insensate feet, shoes should be worn at all times to prevent further trauma damage. Orthotics or special shoes may be necessary to avoid pressure if foot deformities are present.
    
    
  • Apply moisturizers every twelve hours (q12h) to areas of dry skin in the lower extremities, under compression, for patients who have venous hypertension to prevent ulceration.
    
    
  • Interventions should be monitored and documented daily.

Download and print a copy of the Lantiseptic Care Plan brochure for either the Therapeutic Cream or Skin Protectant.