Dementia is a syndrome occurring as a result of brain disease, which is usually chronic or progressive in nature and ultimately a lifelimiting condition. In addition to cognitive decline, people diagnosed with dementia will experience a gradual loss of function with a growing inability to perform basic activities of daily living, such as feeding, toileting and dressing. Dementia is often synonymous with ageing so individuals also experience conditions related to age, such as the effects of ageing skin and increased risk of frailty and falls, all of which are significant risk factors for skin tears. This paper considers fragile skin in the form of a skin tear, in the context of a fictionalised case study based on clinical practice of a person with dementia, and explores the assessment, care and treatment of such an injury, reflecting on the literature.