A novel approach to managing complex skin tears in the elderly population: A case series

Skin tears (STs) are prevalent acute wounds found in the elderly population with a high propensity to become complex and chronic wounds, which in turn delays wound healing. The associated fragile peri-wound skin complicates dressing selection for individuals suffering from STs. In recent literature there has been an increase in the attention given to these wounds, however there has been no gold standard for the management of these wounds. Through case study format this poster will present an evaluation of one treatment option available for STs.

Method:

A convenience sample of 10 subjects (age > 65) living in a Long-term Care facility presenting with type 2 and 3 STs were treated with a Methylene Blue and Gentian Violet Dressing, a non-traumatic topical dressing which has been affectively used to treat other complex wounds. Wound healing time, dressing cost, patient satisfaction and pain associated with the dressing were recorded for each individual.

Findings:

Complete closure in 10 out of 10 wounds within 4 weeks with an average of 2 dressing changes per week. Subjects denied pain with application.

Registered staff reported no problems encountered with the dressing use and noted increased patient comfort. Cost per application was estimated to be $12.00 (CAN)/application based on unit price.

Conclusion:

Through case study format, this poster highlighted an economical and effective method for treating type 2 and type 3 STs in the elderly population living in long term care however, these results may not be generalizable to other populations. The results demonstrates the need for further research into the wound healing benefits of Methylene Blue and Gentian Violet dressings in the treatment of STs and its cost effectiveness.