Elderly skin itching?
Hello, doctor.
I would like to ask how to properly clean and care for elderly skin to prevent itching.
My father-in-law is now ninety years old and has been bathed by my mother-in-law for many years.
However, in the past few months, he has frequently experienced itchy skin, which has led my mother-in-law to bathe him several times a day, sometimes even in the middle of the night.
We are very concerned that this will take a toll on my mother-in-law's health in the long run.
Due to work commitments and our house not being ready yet, my husband and I have not been able to live with my in-laws (we are in Taipei, and they are in Hualien).
I would like to ask the doctor if simply bathing is not enough for the elderly, and if he needs to be showered with water every few days instead? We recently bought Sebamed lotion for my father-in-law to use, but he still feels itchy after applying it.
He has also taken medication prescribed by a doctor in Hualien, but it hasn't been effective.
Are there any other methods to improve his condition? Thank you very much, doctor!
You, 30~39 year old female. Ask Date: 2008/04/13
Dr. Huang Ruiyun reply Dermatology
Hello: Elderly individuals' skin should not be over-washed, and frequent bathing is also not advisable.
If lotion has not shown improvement, you may try using a cream instead.
If that still does not help, please take them to see a dermatologist in person.
Additionally, some elderly patients may experience itching due to drug allergies, so if they have started any new medications in the past few months, this possibility should also be considered.
Reply Date: 2008/04/13
More Info
Caring for the skin of seniors, particularly those who are experiencing itching, requires a thoughtful approach that combines proper hygiene, moisturizing, and possibly medical intervention. As we age, our skin naturally becomes thinner and drier, which can lead to increased sensitivity and a higher likelihood of itching. Here are some effective skin care tips for seniors to alleviate itching and maintain skin health.
1. Gentle Cleansing:
For seniors, it’s crucial to use gentle, non-irritating cleansers. Traditional soaps can strip the skin of its natural oils, exacerbating dryness and itching. Instead, opt for mild, fragrance-free cleansers or syndets (synthetic detergents) that are designed for sensitive skin. Bathing should be done with lukewarm water, as hot water can further dry out the skin.
2. Moisturizing:
After bathing, it’s essential to apply a good quality moisturizer while the skin is still damp. This helps to lock in moisture. Look for thick creams or ointments that contain ingredients like glycerin, hyaluronic acid, or ceramides, which are effective in hydrating the skin. Products like Sebamed lotion, which you mentioned, can be beneficial, but ensure that it is suitable for your grandfather's specific skin type. If he continues to feel itchy after using it, consider trying different formulations or brands.
3. Frequency of Bathing:
While regular bathing is important for hygiene, over-bathing can lead to increased dryness. For seniors, bathing every other day or even less frequently may be sufficient, depending on their level of activity and personal hygiene needs. On non-bathing days, a sponge bath can help maintain cleanliness without over-drying the skin.
4. Environmental Factors:
The environment plays a significant role in skin health. Dry indoor air, especially during winter months, can worsen skin dryness. Using a humidifier in the home can help maintain moisture levels in the air, which can be beneficial for your grandfather's skin. Additionally, ensure that he is dressed in soft, breathable fabrics to avoid irritation.
5. Hydration:
Encourage your grandfather to drink plenty of fluids. Hydration from within is just as important as topical treatments. Water helps maintain skin elasticity and overall health.
6. Medical Consultation:
If the itching persists despite these measures, it may be necessary to consult a dermatologist. There could be underlying conditions such as eczema, psoriasis, or even systemic issues that require medical treatment. The dermatologist may prescribe topical steroids or other medications to alleviate severe itching.
7. Avoid Irritants:
Be mindful of any potential irritants in the environment. This includes harsh laundry detergents, fabric softeners, or even certain foods that may cause allergic reactions. Opt for hypoallergenic products whenever possible.
8. Regular Skin Checks:
Regularly inspect your grandfather’s skin for any changes, such as new rashes, lesions, or signs of infection. Early detection of skin issues can lead to more effective treatment.
Conclusion:
In summary, caring for an elderly person's skin involves a combination of gentle cleansing, effective moisturizing, and environmental adjustments. It’s important to tailor the skin care routine to your grandfather’s specific needs and to seek medical advice if home remedies do not provide relief. By implementing these strategies, you can help alleviate his discomfort and improve his overall skin health.
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