title: Prevention and management of incontinence-associated dermatitis using a barrier cream.
abstract: Incontinence-associated dermatitis (IAD) is a common skin disorder affecting patients with urinary and/or faecal incontinence. Maintaining the skin's integrity is a challenge, particularly in the elderly and individuals with medical or surgical comorbidities. It is widely reported that the issue is complex and recognition is inconsistent, with symptoms often being confused with those of pressure ulcers. This article explores the causes of IAD, looking at the structure of healthy skin and the pathology that occurs during skin breakdown. It identifies risk factors and prevention and management strategies, including the use of barrier creams. The article then presents the results of a large product evaluation that took place with Cavilon Durable Barrier Cream (3M). The barrier cream was shown to be more effective in treating and managing patients with IAD than the previous product that patients had been using. A case study is also included to demonstrate the efficacy of the newest version of Cavilon Durable Barrier Cream.
authors.affiliation: Lead Clinical Nurse Specialist, Continence Service, Calderdale and Huddersfield NHS Foundation Trust.
authors.forename: Sharon
authors.initials: S
authors.lastname: Holroyd
authors.forename: Katriona
authors.initials: K
authors.lastname: Graham
mesh_terms: D000279:Administration, Cutaneous; D000368:Aged; D000369:Aged, 80 and over; D003963:Diaper Rash / Q000209:etiology* / Q000517:prevention & control*; D005242:Fecal Incontinence / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D009779:Occlusive Dressings; D012307:Risk Factors; D017592:Skin Care / Q000451:nursing*; D063465:Skin Cream / Q000627:therapeutic use; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000150:complications*; D014945:Wound Healing / Q000187:drug effects*
keywords: Barrier cream; Incontinence; Skin breakdown; Treatment