What skin integrity issue should the nurse be aware of when working with a client diagnosed with Alzheimer's disease?

The issue of impaired cognition leading to pressure injuries is a significant concern for clients diagnosed with Alzheimer's disease. Individuals with Alzheimer's often experience cognitive decline that can result in forgetfulness, confusion, and an inability to recognize or respond to discomfort. This impairment may prevent them from changing positions or communicating their needs effectively, increasing their risk of developing pressure injuries due to prolonged pressure on certain areas of the body, particularly in individuals who may already have limited mobility.

Moreover, cognitive impairment can affect a person's ability to understand the importance of regular movement or to request assistance when necessary. As pressure injuries are often preventable through interventions such as repositioning, awareness of this connection is crucial for nurses in caring for patients with Alzheimer's. Addressing this risk involves implementing regular skin assessments and repositioning schedules, as well as ensuring that the patient's environment is conducive to their needs, thus protecting their skin integrity and overall health.