How to care for the fragile skin of an older person?

My mother's skin is very dry and thin; any stronger touch leaves a mark and sometimes tears. I feel guilty when this happens. How can I better care for her skin?

You don't have to feel guilty. Very fragile skin gets hurt by everyday gestures, even with all the care in the world — and the fact that you worry shows how attentive you are to her well-being.

Why it happens

With age, skin loses fat, water, and elasticity, becoming thinner and drier. Diseases, some medications, and dehydration worsen the problem. This leads to cracks, flaking, itching, and small tears from seemingly harmless touches.

Practical strategies

• Moisturise daily with emollient cream, especially after bathing, while the skin is still slightly damp.
• Use lukewarm (not hot) water and mild, unscented soaps; pat dry without rubbing.
• Ensure good fluid intake throughout the day.
• Wear loose, cotton clothing without irritating seams.
• Inspect the skin daily, especially folds and pressure areas.

What NOT to do

• Do not use very hot water or excessively long or frequent baths.
• Do not apply alcohol, strong colognes, or perfumed products to the skin.

When to seek professional help

If wounds appear that do not heal, redness with warmth, intense itching, or signs of infection, speak to your GP or the health centre nurse. If in doubt, the NHS 111 helpline (111) can provide guidance.

"I started putting cream on my mother's hands and legs every morning. It became a moment of affection between us." — Anonymous Carer