Understanding Eczema in Older Adults: Relief for Dry, Itchy Skin

Eczema, or dermatitis, is a chronic skin condition characterized by dry, red, and intensely itchy patches. While often associated with childhood, it is increasingly common and problematic in older adults. As we age, our skin naturally becomes thinner and drier, making it less effective at retaining moisture and more vulnerable to irritation and chronic conditions like eczema.

Understanding Eczema in Older Adults: Relief for Dry, Itchy Skin

HandyNurse® knows that managing skin health is a vital part of comfort and overall well-being. Here is what you should know about eczema in older adults and how to find relief.

Why Eczema is Different for Seniors

Eczema in older adults often manifests as Asteatotic Eczema (or "winter itch"), which is directly linked to dry skin. Key factors include:

• Decreased Oil Production: Sebaceous glands produce less oil, reducing the skin's natural barrier.

• Slower Cell Renewal: Skin heals more slowly, meaning flare-ups can be chronic and difficult to resolve.

• Complications from Itching: Persistent scratching can break the skin, leading to infections, which are more serious for seniors with compromised immune systems.

• Medication Side Effects: Certain medications can increase skin dryness or sensitivity, triggering eczema.

Three Gentle Steps for Managing Flare-Ups

The goal of managing eczema is to restore the skin barrier, reduce inflammation, and stop the itch-scratch cycle.

1. Moisturize, Moisturize, Moisturize

• The Right Product: Use thick, greasy moisturizers like ointments or creams (e.g., those containing ceramides or petroleum jelly). Lotions are generally too thin to be effective for dry eczema.

• Timing is Key: The best time to apply moisturizer is within three minutes of getting out of the bath or shower, when the skin is still damp. This traps the water in the skin.

2. Adjust Bathing Habits

• Cooler and Quicker: Avoid long, hot baths, which strip the skin of its natural oils. Opt for short, lukewarm showers or baths instead.

• Gentle Cleansing: Use mild, fragrance-free, soap-free cleansers. Harsh soaps and bubble baths should be avoided completely. After bathing, pat the skin gently with a soft towel rather than rubbing vigorously.

3. Manage the Environment and Clothing

• Humidify the Air: During dry months, use a humidifier to add moisture back into the air.

• Wear Soft Fabrics: Opt for loose-fitting clothing made from soft, breathable materials like cotton. Avoid scratchy wool or synthetic fabrics that can trap heat and irritate the skin.

• Keep it Cool: Overheating often triggers itching. Keep bedrooms cool and use lightweight bedding.

When to Call the Doctor

While these steps can provide relief, it is essential to consult a healthcare provider or a dermatologist if:

• The itching interferes with sleep.

• The eczema is red, inflamed, or weeping fluid (a potential sign of infection).

• Over-the-counter remedies are not working after several weeks.

Managing chronic skin conditions requires patience and attention to detail. At HandyNurse®, our comprehensive care means we are here to provide support as needed. Our compassionate caregivers can help apply moisturizers consistently, ensure bathing routines are safe and gentle, and assist with laundry using skin-friendly detergents. We handle the daily care, so your loved one can find comfort and relief.