The skin care of disabled elders living in nursing homes and adult congregate, subacute, and home health settings requires special effort and consideration. Practitioners who regularly assist elders in these situations may be unfamiliar with dermatology problems related to chronic disability. As the U.S. population ages, skin care in the elderly and disabled will continue to be a challenge. However, if the diseases and problems can be addressed in a knowledgeable and problem-oriented manner, treatment can be maximized.