Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which of the following strategies is incorrect for maintaining skin health in older adults?

1. Using superfatted nonalkaline soaps

2. Applying lubricants to slightly damp skin

3. Using high-pH cleaners for bathing

4. Individualizing bathing schedule

The correct answer is: Using high-pH cleaners for bathing

Using high-pH cleaners for bathing is a strategy that can be detrimental to the skin health of older adults. High-pH cleaners can strip away the natural oils and disrupt the skin's protective barrier, leading to dryness, irritation, and an increased risk of infections. As individuals age, their skin naturally becomes thinner and drier, making it more susceptible to damage and compromising its ability to heal. Therefore, employing high-pH products poses a risk that can exacerbate these issues. In contrast, using superfatted nonalkaline soaps helps maintain moisture and gentle cleansing, since these products contain additional oils that can nourish the skin. Applying lubricants to slightly damp skin after bathing is effective because it helps trap moisture, aiding in hydration. Lastly, individualizing the bathing schedule considers the unique needs and preferences of older adults, promoting comfort and skin health while avoiding over-bathing, which can also lead to skin dryness.