Plan and Train for Senior Care

Why Skin Changes With Age: Dryness, Eczema, and Pressure Sores

Maybe you've noticed dry patches on someone's arms while helping them get dressed. Perhaps they keep scratching their legs or feel uncomfortable sitting in the same position for too long. These small observations can tell us a lot about a person's skin health. Skin care for older adults is an important part of everyday caregiving. Knowing what to look for can help caregivers recognize concerns before they become more serious.

As we age, our skin naturally becomes thinner and less elastic. It also loses some of the oils that help keep it soft and hydrated. This means skin may become drier, more sensitive, and easier to damage.

Hormonal changes, medications, and certain health conditions can also affect the skin.

Estrogen helps maintain skin collagen. According to the American Academy of Dermatology, women lose about 30% of their skin's collagen during the first five years of menopause, followed by about 2% each year for the next 20 years. Men also lose collagen as they age, but these specific figures apply to postmenopausal women.

The good news? A little extra attention can help prevent discomfort and catch problems before they become more serious.

Dry, Itchy Skin: When It's More Than Just Dryness

Have you ever noticed someone scratching their arms or legs throughout the day? Or perhaps their skin looks flaky even after a bath?

Dry skin in older adults is common. It can feel tight, rough, or itchy. Everyday habits like taking hot showers or using strongly scented soaps can make it worse. Sometimes, though, persistent itching has another cause, such as a medication or an underlying health condition.

Dryness can also lead to skin irritation. When the skin becomes inflamed, it may turn red, develop a rash, or start to peel. Conditions such as eczema and dermatitis can cause these symptoms. They may look similar, so a healthcare professional may need to assess the skin to identify the cause.

Eczema in older adults can affect comfort and daily activities. The CDC's National Center for Health Statistics reported that in 2024, diagnosed eczema affected:

• 6.3% of adults ages 65–74
• 5.6% of adults ages 75 and older

When someone keeps scratching, the skin can break and become more vulnerable to infection. Persistent itching can also interfere with sleep and daily comfort.

Pressure Sores: Small Changes Worth Noticing

Imagine spending most of the day in bed or sitting in a chair. Without regular movement, the same areas of skin can remain under pressure for long periods.

Over time, that pressure can damage the skin and the tissue underneath. These injuries are called pressure sores or pressure injuries. Pressure injuries in older adults often develop around the heels, hips, and tailbone.

Older adults who have difficulty moving on their own face a greater risk. Moisture, friction, and poor nutrition can also contribute.

The important thing to remember is that a pressure injury can start before a wound appears.

You might notice a patch of skin that looks different from the surrounding area. It may feel warmer, firmer, swollen, or tender. On darker skin, redness may be harder to see, so changes in texture or temperature are also important.

According to the Agency for Healthcare Research and Quality, more than 2.5 million people in the United States develop pressure ulcers each year.

Pressure injuries can cause pain, delay healing, and lead to serious complications. That's why pressure sore prevention matters. A new sore, persistent discoloration, or discomfort over a pressure area should be reported promptly.

Practical Actions for Healthier Skin

Small changes in everyday routines can help older adults stay comfortable and protect fragile skin. These caregiver skin care tips can make daily care safer and more comfortable.

1. Take a closer look. While helping someone bathe or get dressed, notice dry patches, rashes, bruises, or areas that look different. Pay attention to places exposed to pressure or moisture. You don't need to know the name of a skin condition to recognize that something has changed.

2. Keep skin care gentle and moisturizing. Older skin can be more sensitive to everyday products and habits. Choose mild, fragrance-free cleansers and moisturizers. Look for ingredients such as ceramides, glycerin, or petrolatum to help retain moisture. Apply moisturizer after bathing while the skin is still slightly damp. Avoid very hot showers, harsh soaps, rough scrubbing, and exfoliating products that can irritate fragile skin. Remember, “natural” and “unscented” don't always mean irritation-free. Stop using any product that causes discomfort or a rash.

3. Encourage regular hydration. Drinking enough fluids supports overall health. Offer water regularly throughout the day and make fluids accessible when appropriate. Some older adults may not feel thirsty as often, so gentle reminders can help. Always follow any fluid restrictions prescribed by a healthcare professional.

4. Keep skin clean and dry. Sweat, incontinence, and damp skin folds can cause irritation. Gently clean the skin after it becomes soiled and pat it dry instead of rubbing. Check areas where moisture can collect. Avoid leaving damp clothing or bedding against the skin for long periods.

5. Help relieve pressure. People who spend long periods in bed or in a chair may need help changing positions. Follow their individualized repositioning and mobility plan. Use prescribed cushions and support surfaces as directed. Never massage an area that may be developing a pressure injury.

6. Notice, document, and report changes. Is the itching getting worse? Does a rash keep returning? Has a new sore appeared? Note when the change started and how it has progressed. Share these observations with the appropriate healthcare professional. Seek prompt assessment for new skin breakdown or signs of infection.

Skin care for older adults is about helping people stay comfortable, respected, and supported as they age. During everyday caregiving, take a moment to notice how your client or loved one's skin looks and feels. A small change may be easy to overlook, but your attention could make a meaningful difference.