Skin Dryness and Pruritus in Older Adults With and Without Heart Failure and Implications for Home Care Nursing

Older adults with HF exhibited a higher prevalence and severity of pruritus than non-HF older adults. Reduced sebum content, rather than reduced hydration, was independently associated with pruritus, suggesting that lipid deficiency played a key role in its pathogenesis. These findings underscore the importance of addressing local skin factors in addition to systemic contributors. Incorporating lipid-replenishing emollients into home and community care may represent a practical strategy to reduce pruritus and improve the quality of life in older adults with HF.