In stage 5 spina bifida management, which activity is recommended regarding skin care?

• A. Teach skin care
• B. Skin avoidance
• C. Skin scratching
• D. Ignore skin checks

Answer: (A)

Preventing skin breakdown is the priority in long-term spina bifida care, especially when sensation or mobility may be limited. In stage 5 management, teaching skin care empowers the patient and family to maintain skin integrity through daily routines and self-monitoring.

This approach includes teaching how to inspect the skin every day for redness, warmth, discoloration, blisters, or wounds; keeping the skin clean and dry; using moisturizers for dry skin; minimizing friction and shear from seating or clothing; and implementing regular pressure-relief strategies and proper padding or cushions. When caregivers and patients know what to look for and how to respond, early signs of trouble are caught quickly and addressed before ulcers develop, reducing infection risk and the need for more intensive interventions.

Choosing not to focus on skin care, avoiding skin protection, scratching, or ignoring checks fails to address prevention and early detection, so it increases the likelihood of preventable skin injuries.