Who is most at risk for developing skin breakdown?

The 84-year-old client who has been NPO (nothing by mouth) for four days is most at risk for developing skin breakdown primarily due to a combination of factors associated with aging and prolonged fasting.

Age is a significant risk factor in the development of skin integrity issues, as older adults may have thinner skin, decreased subcutaneous fat, and reduced elasticity. These physiological changes make the skin more susceptible to damage. When an individual is NPO, especially for an extended period, their nutritional intake is compromised, which can lead to protein deficiency and decrease the skin's ability to heal and regenerate. Nutrients, particularly protein, are critical for maintaining skin integrity and promoting wound healing.

Additionally, being NPO may not only compromise nutritional status but could also contribute to dehydration, further exacerbating the risk of skin breakdown. The lack of adequate hydration can lead to dry skin, making it more prone to fissures and abrasions.

While the 30-year-old with diabetes and the 50-year-old with hypertension do have risks associated with their conditions, their ages and overall nutritional status are likely less concerning than that of the NPO elderly client. The 70-year-old with mobility issues also presents a risk due to potential pressure ulcers from imm