1. Skin Care Fair
This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 8SOW-GA-NH-08-40

2. What Is The Skin Care Fair?
A pressure ulcer prevention
in-service with hands on activities that are fun!
Each activity covers one of the Braden Scale risk factors for pressure ulcers and includes a lesson learned from The Daily Post
Designed for the C N As and direct staff. Use as a train the trainer activity for nurses.

3. Tools Skin Care Fair PowerPoint
Skin Care Fair Instructions with inventory list of required supplies
Take Home Sheet for the C N A
Ten Commandments of Wound Care
Braden Puzzle Pieces
Skin Care Fair Flyer

4. Helpful Hints
The instructions contain humorous scripts and hints to ensure each activity’s success.
Allow ½ hour to set up your program.
Don’t leave fruit unattended; the residents will eat it!
Clean up with bleach wipes to maintain infection control.

5. Benefits Active learning and CNAs love the activities Easy to provide
Door opener for nursing homes
Able to customize interventions to facility’s policies
Opportunity for nursing homes to reward staff

6. Reaching Out
After conducting these in-services in nursing homes, we conducted regional train-the-trainer workshops to spread the word.

7. Terrors of the Deep: View the stages of pressure ulcers
Skin Care Fair
3 Categories of Activities:
Oh, My Precious Epidermis: Hands on Activities
Terrors of the Deep: View the stages of pressure ulcers
Solving the Puzzle of The Braden Scale

8. Oh,My Precious Epidermis

9. The Barren Desert
Exercise 1

10. The Daily Post
Protect Dry Skin which can lead to friction injuries and skin tears
Use moisturizers frequently and as often as necessary
Always be on the look-out for skin changes

11. Fragile: Handle with Care
Exercise 2

12. The Daily Post
Be cautious when changing incontinent products, bandages, or even their clothes
Your elder’s skin is very fragile and can tear easily

13. The Barrier Reef
Exercise 3

14. Barrier Reef Exercise See the water beading up on Right hand?

15. The Daily Post
Use a moisture barrier to help protect the skin from stool and urine.
Barrier creams and ointments only work if they are applied, and applied correctly
These creams can be the first line of defense for your elder to stop a pressure ulcer before it develops

16. You’re Tearing Me Apart
Exercise 4

17. The Daily Post
Simple movements, such as turning or lifting, can create friction and shearing, which can injure the skin.
To move and reposition residents, use lifting devices and draw sheets. Avoid dragging.

18. Critic’s Corner
Treasure Hunt
Exercise 5

19. Seeing through the resident’s eyes
Treasure Hunt the picture on the right is view from glasses with petroleum
Seeing through the resident’s eyes

20. The Daily Post
Poor nutrition is a risk factor in developing a pressure ulcer.
Assist residents to eat as necessary.
Notify the nurse if there is a decline or change in a resident’s eating habits.
Choose supplements that are tasty
Consider choice in dining as a strategy to increase weight.

21. The Princess and the Pea
Exercise 6

22. The Daily Post
Use support surfaces on beds and chairs to reduce pressure.
Avoid donuts.
Use pillows or devices to raise heels off the bed.

23. Lions and Tigers and Bears
Dorothy’s Shoes
Lions and Tigers and Bears
Oh MY!
Pressure and
Blisters and
Objects
Oh My!
Exercise 7

24. The Daily Post
Always be on the lookout for anything that could create pressure on the skin, including the feet.

25. Terrors of the Deep
Exercise 8

26. Terrors of the Deep
Stage 1
Stage 2
Stage 3
Stage 4

27. Solving the Puzzle of The Braden Scale*
Mobility
Friction and Sheer
Nutrition
Moisture
Activity
Sensory Perception
*Refers to The Braden Scale for Predicting Pressure Sore Risk,
Barbara Braden and Nancy Bergstrom, 1988

28. Questions?
This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 8SOW-GA-NH-08-40