The guideline recommends that the frequency of
skin assessments should generally be increased in
response to physical deterioration of the individual
(strength of evidence=C) (NPUAP et al,
2014). However, one can realistically anticipate
that the individual receiving palliative care will
have ongoing deterioration, and frequency of
skin assessments should be driven by the individual’s
wishes and meeting of realistic care goals.
Skin assessments could be incorporated into
other care activities, including repositioning, in
order to minimise disruption to comfort.