Which action should a nurse avoid when caring for an older adult with a reddened coccyx?

Massaging a reddened area on the skin can cause further damage to the tissue, especially in the fragile skin of older adults. The presence of redness indicates that the skin may already be experiencing pressure damage, often leading to a pressure ulcer if not appropriately managed. Massaging the area can disrupt capillary blood flow and worsen the condition, potentially leading to more significant skin integrity issues.

In contrast, regularly inspecting the area for changes promotes early detection of any worsening skin condition and facilitates timely interventions. Encouraging the client to change positions regularly helps alleviate pressure on the coccyx, reducing the risk of further skin breakdown. Additionally, using a pressure-relieving mattress minimizes pressure on vulnerable areas, providing critical support for skin integrity. This integrated approach is essential in preventing the progression of skin damage in older adults.