title: Structured skin care regimen to prevent perineal dermatitis in the elderly.
abstract: A preliminary investigation was conducted to determine the efficacy of a structured skin care regimen to prevent perineal dermatitis in incontinent geriatric psychiatry patients. A 10-week, prospective, clinical trial was conducted (n = 15). Four weeks (weeks 2 to 5) were devoted to monitoring the unstructured pretreatment nursing skin care practice and to determining the incidence of perineal dermatitis in incontinent patients. Four weeks (weeks 7 to 10) were also spent implementing and observing the structured nursing skin care regimen. The study revealed that 33% (three) of the subjects in the unstructured skin care group and 33% (two) of the subjects in the structured skin care group had perineal dermatitis. In subjects with a combination of urine and stool incontinence perineal dermatitis developed within 2 days. The findings suggest that perineal dermatitis occurs quickly in the presence of urine and stool incontinence. Further research is needed to validate the efficacy of a structured skin care regimen to prevent perineal dermatitis.
authors.forename: C H
authors.initials: CH
authors.lastname: Lyder
authors.forename: C
authors.initials: C
authors.lastname: Clemes-Lowrance
authors.forename: A
authors.initials: A
authors.lastname: Davis
authors.forename: L
authors.initials: L
authors.lastname: Sullivan
authors.forename: A
authors.initials: A
authors.lastname: Zucker
mesh_terms: D000368:Aged; D015400:Clinical Nursing Research; D003872:Dermatitis / Q000209:etiology / Q000517:prevention & control*; D003879:Dermatologic Agents / Q000008:administration & dosage; D005242:Fecal Incontinence / Q000150:complications / Q000451:nursing; D005260:Female; D006801:Humans; D006920:Hygiene; D008297:Male; D010502:Perineum; D014549:Urinary Incontinence / Q000150:complications* / Q000451:nursing
chemical_list: D003879:Dermatologic Agents