[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-432733-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-432733-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","the-prevention-and-management-of-skin-tears-best-practice-statement","The Prevention and Management of Skin Tears - Best Practice Statement","","Best Practice Statement developed by the All Wales Tissue Viability Forum to improve assessment and evidence-based management of skin tears. It addresses rising incidence among elderly patients identified through local caseload review and notes gaps in prevention strategies and confusion in clinical management. The guideline defines skin tears, outlines purpose and scope for category 1–2 injuries, discusses risk factors linked to ageing, and presents the Payne and Martin classification with supporting skin function changes and references.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/the-prevention-and-management-of-skin-tears-best-practice-statement/432733/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/the-prevention-and-management-of-skin-tears-best-practice-statement/432733.png","ImageObject",300,407,{"name":42,"@type":43},"LangkahRina","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",5,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are skin tears and why are they a concern for elderly patients?","Question",{"text":63,"@type":64},"Skin tears are traumatic wounds where the epidermis separates from the dermis due to friction and/or shearing forces. They significantly affect elderly populations, with high prevalence and substantial annual incidence in institutional settings.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is the purpose and scope of this Best Practice Statement?",{"text":68,"@type":64},"The statement provides knowledge to prevent the development of skin tears and to support appropriate treatment of category 1 and 2 skin tears. It does not aim to discuss treatment of deep category 3 skin tears or deep pretibial lacerations requiring surgical intervention.",{"name":70,"@type":61,"acceptedAnswer":71},"How does the guideline describe classification of skin tears?",{"text":72,"@type":64},"It explains that no skin tear classification system is universally accepted or validated. It then details the widely cited Payne and Martin Classification, including categories for skin tears with or without tissue loss and levels of tissue loss.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},432733,1791435798,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":55,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","AlI Wales  \nTissue ViabilityNurse Forum  \nBest Practice StatementThe Assessmentand Managementof Skin TearsEndorsed byAl Wales Tssue VabilyNurse ForumFlorwm Nyrsys HylyweddMelnwe Cymru Gyfan  \nSupported by an unrestrictededucational grant fromINASSOCIATIONWITHJWCJournal of wound careBJNBrtsh jounal of Nursing  \nThis guideline for Best Practice has been written by Menna Lloyd Jones,Senior Nurse Tissue Viabiliy,Betsi Cadwaladr University HealchBoard,and Clare Morris,Former Tissue Viability Nurse Advisor,Betsi Cadwaladr University Health Board.The guideline has been reviewed and endorsed by the All Wales Tissue Viability Forum,February 2011.  \nThe All Wales Tissue Viability Forum was formed in September 2003 and has the following aims within the six key principles from theInstitute of Medicine(Welsh Assembly Government,2005):  \nSafety,Effectiveness,Patient-Centred,Timely,Efficient and Equitable  \n1.To raise awareness of tissue viability in order to improve patient outcomes  \n2.To raise awareness of the impact of tissue viability in health economics  \n3.To promote evidence-based practice in tissue viability and influence appropriate policy across Wales  \n4.To be recognised by the Welsh Assembly Government as a knowledgeable and valuable resource  \n5.To contribute to the body of knowledge by initiating and participating in tissue viability research and audit  \n6.To improve patient outcomes by maintaining the links wich academia and disseminating knowledge relating to tisue viability to allhealchcare providers  \n7.To work in partnership with industry in order to improve patient care  \n8.To provide peer support to all tissue viability nurses working in Wales.  \n# The Prevention and Management of Skin Tears\n\nBackground  \nA review of the tissue viability nurse's caseload wichin BetsiCadwaladr University Healch Board identified an increase in theincidence of skin tears throughout the local population of elderlypatients.In an attempt to reduce the incidence and ensure theprovision of appropriate care,the tissue viability nurses(TVNs)undertook a literature search using CINHAL berween 1995 and2010.The literature review identified gaps and weaknesses.Therewas no standardised prevention strategy and there was confusionwich regard to the appropriate management of skin tears.  \n# Purpose\n\nThe purpose of this Best Practice Statement is to provideappropriate knowledge in order to prevent the development ofskin tears and/or to facilitate appropriate treatment of category1 and 2 skin tears(Payne and Martin,1993).It is not theintention of this document to discuss the treatment of deeppretibial lacerations or other deep category 3 skin tears,whichmay require surgical intervention.  \n## Introduction\n\nSkin tears are defined as a traumatic wound resulting fromseparation of the epidermis from the dermis,as a result offriction and/or shearing forces (Malone et al,1991;Fleck,2007).Skin tears represent a significant problem affecting theelderly wich prevalence rates of berween 14%and 24%.Anestimated 1.5million skin tears occur in elderly residents ofinstitutions in the United States every year(Baranoski,2005).  \nThe majority of skin tears are caused as a result of trauma,where the epidermis is displaced but still retains a bloodsupply.(Carville et al,2007).Approximately 80%ofall skintears are predominately seen on the arms and dorsal aspect ofthe hands,and less frequendly the lower limbs(Baranoski,2003).With an increasing elderly population,it is estimatedthat the incidence of skin tears will become one of the largestproblems in wound care.Identifying the risk and providingevidence-based care is therefore paramount(Beldon,2006;Benbow,2009).  \n# Anatomy and physiology of the skin\n\nIn order to prevent skin tears it is important to have a basicunderstanding of the anatomy and the effects of ageing on theskin,as well as being able to recognise and address factors that putthe patients at risk of developing skin tears.  \nThe skin is the largest and most visible o","cbCaivdDXK1LMTah","https://ap.wps.com/l/cbCaivdDXK1LMTah","pdf",2625354,13,"English","# The Prevention and Management of Skin Tears\n## Background\n## Purpose\n## Introduction\n## Anatomy and physiology of the skin\n## Classification of skin tears","[{\"question\":\"What are skin tears and why are they a concern for elderly patients?\",\"answer\":\"Skin tears are traumatic wounds where the epidermis separates from the dermis due to friction and/or shearing forces. They significantly affect elderly populations, with high prevalence and substantial annual incidence in institutional settings.\"},{\"question\":\"What is the purpose and scope of this Best Practice Statement?\",\"answer\":\"The statement provides knowledge to prevent the development of skin tears and to support appropriate treatment of category 1 and 2 skin tears. It does not aim to discuss treatment of deep category 3 skin tears or deep pretibial lacerations requiring surgical intervention.\"},{\"question\":\"How does the guideline describe classification of skin tears?\",\"answer\":\"It explains that no skin tear classification system is universally accepted or validated. It then details the widely cited Payne and Martin Classification, including categories for skin tears with or without tissue loss and levels of tissue loss.\"}]","The Prevention and Management of Skin Tears - Best Practice Statement | PDF",1790661022,33]