Good skin integrity is essential for overall health and wellbeing. The skin is the body’s first line of defence against external threats such as infection, injury, and fluid loss. Maintaining skin integrity is crucial, especially for patients in their own homes where skin observation may be less frequent than in in-patient settings. Any damage to the skin can increase the risk of complications, such as pressure ulcers, infection and skin tears. This article examines the importance of assessing risk and maintaining good skin integrity for patients, and explores the role of nurses in maintaining good skin health, outlining evidence-based interventions.