Risk Factors for Medical Adhesive-Related Skin Injury

Intrinsic	Extrinsic
Box 8-2	Risk Factors for Medical Adhesive-Related Skin Injury
Extremes of age: older adults, infants Comorbidities: diabetes, venous insufficiency, dermatologic conditions (e.g., eczema), renal insufficiency, immunosuppression Underlying health issues: dehydration, malnutrition, edema	Prolonged moisture exposure or drying of the skin Radiation treatment Use of medications that prolong epidermal barrier recovery (e.g., corticosteroids, chemotherapeutic agents, anti-inflammatory agents, and anticoagulants) Photodamage or exposure to ultraviolet light Repeated taping or dressing removal Use of harsh, non-pH balanced skin cleansers

Source:Fumarola, S., Allaway, R., Callaghan, R., Collier, M., Downie, F., Geraghty, J., Kiernan, S., & Spratt, F. (2020). Overlooked and underestimated: Medical adhesive-related skin injuries. Best practice consensus document on prevention. Journal of Wound Care, 29(Suppl 3c), S1-S24. https://doi.org/10.12968/jowc.2020.29.Sup3c.S1; Kelly-O'Flynn, S., Mohamud, L., & Copson, D. (2020). Medical adhesive-related skin injury. British Journal of Nursing, 29(6), S20-S26. https://doi.org/10.12968/bjon.2020.29.6.S20.

section name header

Box 8-2