The document outlines 10 conditions that can encourage skin breakdown in patients: 1) immobility which impairs circulation, 2) impaired sensory input in paralyzed or unconscious patients, 3) impaired motor function in patients with spinal cord injuries, 4) incontinence which allows moisture and bacteria on the skin, 5) emaciation over bony prominences, 6) obesity with skin folds trapping perspiration and bacteria, 7) edema increasing pressure, 8) anemia reducing oxygen to tissues, 9) thin, dry skin in older patients, and 10) any disease affecting circulation.

1. CONDITIONS WHICH
ENCOURAGE
SKIN BREAKDOWN
BY MRS.SUKHWINDER
KAUR

2. CONDITIONS WHICH
ENCOURAGE SKIN BREAKDOWN
IN A PATIENT

3. CONDITIONS
IMMOBILITY
IMPAIRED
SENSORY INPUT OBESITY
EMACIATION EDEMA
ANEMIA
IMPAIRED MOTOR
FUNCTION
AGE
RELATED
SKIN
CHANGES
ANY DISEASE OR
CONDITION THAT
AFFECTS
CIRCULATION

4. 1. IMMOBILITY:
Continuous pressure over any
body part impairs circulation
to that part and can cause
breakdown and eventual
ulcerations

5. IMMOBILITY

6. 2. IMPAIRED SENSORY INPUT
Patients with impaired sensory input
for pain and pressure, e.g. paralyzed
patients, unconscious patients are
more prone to develop pressure ulcers.

7. PARALYZED PATIENTS

8. 3. IMPAIRED MOTOR FUNCTION:
 Patients with impaired motor function, e.g.
patients with spinal cord injuries are more
prone to develop pressure ulcers.

9. SPINAL CORD INJURIES

10. 4. INCONTINENCE:
If the patient is unable to control the
bladder or bowel functions, skin
breakdown is likely to occur due to the
presence of moisture and bacteria on
the skin.

11. BLADDER OR BOWEL INCOTINENCE

12. 5. EMACIATION:
An emaciated patient may be prone to skin
breakdown over bony prominence (heels,
elbows and coccyx).

13. EMACIATION PATIENTS

14. 6. OBESITY:
An obese patient may have many
skin folds where perspiration and
bacteria may contribute to skin
breakdown.

15. OBESITY

16. 7. EDEMA:
Edema increases the risk of pressure
ulcers in the affected tissues.

17. EDEMIA

18. 8. ANEMIA:
Patients with anemia are more prone
to develop pressure ulcers because of
reduced amount of oxygen available to
the tissues.

19. ANEMIA

20. 9. AGE-RELATED SKIN CHANGES:
An order person’s skin is very thin and
inelastic. The sweat and oil glands are
less active. Thin, dry skin is more
susceptible to pressure areas and skin
breakdown.

21. AGE RELATED SKIN CHANGES

22. 10. ANY DISEASE OR CONDITION
THAT AFFECTS CIRCULATION:
 Any disease or condition that affects
circulation can encourage skin breakdown
in a patient who is confined to bed.

23. ANY DISEASE CONDITIONS
LIKE DIABETICS PATIENTS