ABSTRACT
The skin is a large and complex organ whose primary purpose is to provide a mechanical protective barrier. Other critical functions include temperature regulation and immunosurveillance, as well as endocrine and neurosensory roles. Skin function deteriorates with chronological ageing but environmental factors also play an important role. Deterioration of skin function combined with increased likelihood of comorbidities can present unique challenges in the dermatological care of older people. Skin is comprised of two major interrelated, though functionally distinct, layers. The outermost epidermis provides a physical barrier between the individual and the external environment. It is highly cellular. Physical, psychological and logistical limitations must also be considered in the older patient. Mobility transportation and cognitive ability are all issues that may affect treatment compliance, as are depression and anxiety, which are sometimes related to isolation. Healthcare assistance, nursing and support from family and friends can be invaluable.
