From the Research
To prevent pressure ulcers, moleskin should be applied by first cleaning and drying the at-risk area thoroughly, then cutting it into an appropriate shape, and finally applying it to intact skin surrounding the pressure point. The application of moleskin is a crucial aspect of pressure ulcer prevention, and it is essential to follow the correct procedure to ensure its effectiveness. When applying moleskin, it is vital to cut it into a shape that extends beyond the vulnerable area, typically in a donut or oval configuration with the center removed if covering a bony prominence, as stated in the example answer. The moleskin works by redistributing pressure away from high-risk areas like heels, elbows, or the sacrum, thereby reducing the risk of pressure ulcer development 1. It is also important to round all corners to prevent edges from rolling up and to remove the adhesive backing before applying the moleskin to intact skin surrounding the pressure point, ensuring there are no wrinkles. The moleskin should be replaced daily or whenever it becomes soiled, wet, or loses adhesion, and before reapplication, the skin should be assessed for any signs of irritation or breakdown. Moleskin is effective because it provides cushioning and reduces friction and shear forces that contribute to pressure ulcer development, as mentioned in the example answer. However, moleskin should only be used as part of a comprehensive pressure ulcer prevention strategy that includes regular repositioning, proper nutrition, and appropriate support surfaces, as highlighted in 2, 3, 4, 5. Some key points to consider when applying moleskin include:
- Cleaning and drying the at-risk area thoroughly before application
- Cutting the moleskin into an appropriate shape to extend beyond the vulnerable area
- Rounding all corners to prevent edges from rolling up
- Removing the adhesive backing before applying the moleskin to intact skin
- Replacing the moleskin daily or whenever it becomes soiled, wet, or loses adhesion
- Assessing the skin for any signs of irritation or breakdown before reapplication. By following these steps and using moleskin as part of a comprehensive pressure ulcer prevention strategy, healthcare professionals can help reduce the risk of pressure ulcer development and promote better patient outcomes.