Objective The objective of this systematic review is to determine what are the most effective and safe topical skin care regimens for maintaining skin integrity, in an aged population in long term care. Questions What are the best methods of providing skin care in an elderly population in long term care prevent or reduce the occurrence of: 1. skin tears? 2. dry skin and irritation? 3. Development of open sores (not pressure sores) Inclusion criteria for effectiveness Patients: Adults 65 years of age or over residing in an aged care facility. If these studies are not available, studies using adults aged 65 years and over who are hospitalised or in long term care in the community will be considered. Intervention: Any topical intervention or program that aims to prevent the development of adverse skin conditions (not repair) in older institutionalised adults. Comparators: The most appropriate comparators would be a no care protocol, or existing practice related to maintaining skin integrity. Outcomes: Incidence of adverse skin conditions such as rash, skin irritation, haematoma or tears during the treatment or control, study period. Pressure ulcer prevention will not be considered. Patient satisfaction will also be considered. Inclusion criteria for safety Patients: Adults 65 years of age or over residing in an aged care facility. If these studies are not available, studies using adults aged 65 years and over who are hospitalised or in long term care in the community will be considered. Intervention: Any non-medical intervention or program that aims to maintain or improve the integrity of skin in older adults. Comparators: The most appropriate comparators would be a no care protocol, or existing practice related to maintaining skin integrity. Outcomes: Adverse physical health outcomes associated with the treatment/management options.