It is no secret that as we grow older, our bodies change. This change isn't always for the better. We may find it more difficult to see or hear, our bones have become brittle, even the skin can start to break down. Most people forget that our skin is an organ. The largest organ of the body, to be exact.  After decades of exposure to the environment, chemicals and irritants, the skin can lose some of it's elasticity and become fragile. This can result in "skin tears", a common, yet misunderstood, occurrence in seniors.
A skin tear is defined as "a traumatic wound resulting from separation of the epidermis from the dermis." (Source: Life & Health Library)

Some risk factors could be:
 

• Presence of shearing, friction and pressure
  
• Prolonged use of corticosteroids
  
• Impaired sensory perception
  
• Disease processes such as renal failure, stroke, heart failure

Some skin conditions in the elderly can be described as appearing like "onion skin." Unfortunately, for a person in this condition, even the slightest movement can result in a tear. You will also often see frequent and easy bruising on these same people with this thin skin. Simple daily activities such as dressing can lead to a tear, as well as bumping a hand against a table.  Some methods of prevention are:

• Provide a safe environment
  
• Maintain hydration and nutrition
  
• Protect from self injury
  
• Adequate lighting
  
• Avoid the use of tape on the skin
  
• Keep the skin lubricated
  
• Wear long sleeved shirts and long pants
  
• Keep high profile or exposed areas padded, if possible

As with any condition, it is important to take as much cautionary care as possible.  The skin is a hard thing to protect all at once.  If a person needs to be moved regularly, the chances of a tear increase. If they are taking certain medications, such as the corticosteroids, it may become impossible to avoid them. 
Whether you are a personal or professional caregiver, knowing the symptoms, causes and prevention can help make a difference in the overall health of the one you are looking after.  Have you cared for someone who suffers from skin tears? Have you experienced it yourself? Please share your stories with us.  Your personal experiences may be helpful to others going through a similar situation.