The WOCN Society 40th Annual Conference (June 21-25th, 2008)


Improving Skin Tear Outcomes using Olivamine TM a Topical Nourishing Skin Care Cream

Cynthia Labish, BSN, MSN, CWOCN, Wesley Healthcare Ctr., Director of Nursing, 131 Lawrence St., Saratoga, NY 12866 and Elizabeth O'Connell-Gifford, RN, BSN, CWOCN, MBA, Medline Industries, Inc., Clinical Education Specialist, 291 Gifford Hollow Rd., Berne, NY 12023.

Problem: As we age skin cells are less able to produce sebum, repair and defend themselves resulting development of scaling, pruritis and thinning of the strateum corneum many times resulting in  skin tears and infections. There had been a significant increase two months in a row in house acquired skin tears.

Methodology: Pre and post-study, at- risk patients were identified for the risk of skin trauma (skin tears, abrasions and bruising) using a Skin Trauma Risk Assessment Sheet adapted by our wound and skin team. The tool is done on admission, weekly x 4 then quarterly and includes risk factors such as medications, presence of purpura, turgor and level of assist required. Scores between 1 and 6 indicate moderate risk. Scores between 6 and 12 indicate high risk.

Past management: Residents were screened as previously described and a petroleum based skin cream was used with am and pm care.

Current approach: Patients that scored moderate and high risk were selected to receive application of new skin care cream bid to arms and legs , after cleansing, for a period of 4 weeks. Skin was evaluated weekly.  Olivamine TM, a proprietary blend of amino acids, vitamins, potent antioxidant hydroxytyrosol, methylsulfonylmethane and dimethicone. The formulation is capable of nourishing, repairing, and enhancing the function of strateum corneum.

Outcomes: Positive outcomes for the patients included skin regeneration as well as improvement in the skin integrity, diminishing purpura, relief of pain and itching, reduction of skin tears and protection from damage related to dehydration.

Conclusion: The intervention for prevention and resolution of skin tears was successful resulting in reduced costs for products to heal the skin tears, improved patient dignity and a wound team that wants to use the product house wide for all the residents..

Remedy TM Skin Repair Cream with Olivamine TM