Cavilon barrier film skin#
2,9,10 Hence, providing good care for treatment of skin tears is important. 6,9,10,16,18,19–22 In addition to the above risk factors, studies revealed 17.8% to 73.91% of skin tears were caused by removal of medical dressings. 9,10,16–18 Risk factors include age (particularly older adults and infants), limited mobility, level of consciousness, stress, friction, humidity, nutrition status, drugs, bacterial or viral infection, history of chronic diseases, critical illness, and end-of-life status. 14,15 Prior studies have found the prevalence of skin tears in the acute care setting ranges from 0% to 11.4%, with the face, head, and neck as major sites. 3–5,13 Skin tears have many causes and are associated with disease progression in patients and contingent upon care knowledge and treatment experience of nursing staff. BackgroundĪ skin tear is an acute traumatic wound caused by friction or shear that results in separation of the epidermis, dermis, or subcutaneous tissues. To determine the different kinds of skin tears and improve peripheral skin integrity of ICU patients, the authors compared skins tears among patients receiving central venous catheterization (CVC) as a reference for medical staff selecting tubing wound care methods. This frequently encountered situation has motivated researchers to study whether applying a skin barrier film can reduce the incidence of skin tears. 11,12 Even though it is not covered by national insurance, barrier film is affordable ($1.50) and accessible to most patients in Taiwan. 7–10 In clinical practice, it is proven that barrier film can prevent skin tears effectively. 4–7 Studies have pointed out that the top three sites of skin tears among inpatients are areas where IV catheters are placed-the neck, forearms, and groin-with a prevalence ranging from 3.8% to 17.8%. Severity may vary by depth (not extending through the subcutaneous layer). 3–5 A skin tear is a traumatic wound caused by mechanical forces, including the removal of adhesives. 2 Causes of skin damage include disease, insufficient blood perfusion, abnormal oxygen saturation, and impaired mobility. 1 Skin damage increases infection rates and pain, extends the length of hospitalization and other care, and increases costs as well as mortality. The skin is the human body’s first line of defense against microorganisms and injury. The work cannot be changed in any way or used commercially without permission from the journal.
Cavilon barrier film license#
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Submitted Februaccepted in revised form April 20, 2020.
The authors have disclosed no financial relationships related to this article. The barrier film used in this study was purchased with the research fund provided by the hospital per specified procedures.
The authors are also grateful to the patients who participated in this study. Acknowledgments: The authors thank Chang Gung Memorial Hospital for grant support (Grant number: CMRPG3F1891). Whei-Mei Shih, PhD, RN, is Associate Professor, Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology. At the Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, Ya-Hui Chen, BSN, RN, is Head Nurse and Hui-Ling Hsieh, MSN, RN, is Assistant Department Head.