Which practice is most consistent with designing a resting hand splint for an older adult to address aging skin and tissue?

• A. Use soft, wide straps
• B. Use D rings
• C. Avoid smooth edges
• D. Use thick padding and smooth edges

Answer: (A)

Protecting aging skin while wearing a resting hand splint means minimizing pressure and friction at the skin-device interface. Narrow or hard interfaces can create localized pressure over bony areas and increase shear, which aging skin is particularly prone to tearing and breakdown. Using soft, wide straps distributes the force of the splint over a larger area, lowering peak pressures and reducing rubbing as the hand moves. This approach respects fragile skin, helps prevent pressure ulcers, and increases wear comfort and adherence.

D rings can create concentrated pressure on a small spot and are harder to adjust in a way that avoids friction; padding alone is helpful but can add bulk and trap heat or moisture, which isn’t ideal for geriatrics who may have drier, more delicate skin. Smooth edges are beneficial for reducing friction, so choosing straps that ensure comfortable, smooth contact is preferable, but the most impactful design choice for protecting aging skin is using soft, wide straps to evenly distribute pressure and minimize irritation.