title: Management of incontinence-associated dermatitis with a skin barrier protectant.
abstract: The skin performs many important protective functions, one of which is to act as a barrier to moisture, irritants and bacteria. Good management of patients' skin is a fundamental part of nursing care to prevent development of complex and distressing problems, such as pressure ulceration and incontinence-associated dermatitis (IAD). IAD is skin breakdown related to faecal and/or urinary incontinence, which requires adoption of a structured skin care regimen, including regular skin inspection, cleansing and the use of skin barrier protectants, to proactively protect the skin from irritant bodily fluids. Six case studies using Medi Derma-S skin barrier protectants on patients with IAD highlighted the potential for improved clinical outcomes on skin either vulnerable or compromised due to the effects of incontinence. Positive observations were noted with regard to improvement in skin condition, pain and discomfort, promotion of independence and prevention of deterioration of concurrent pressure damage.
authors.affiliation: Assistant Practitioner, Oxfordshire Community Bladder and Bowel Service, Oxford Health NHS Foundation Trust.
authors.forename: Geraldine
authors.initials: G
authors.lastname: Southgate
authors.affiliation: Clinical Nurse Advisor, Medicareplus International.
authors.forename: Sarah
authors.initials: S
authors.lastname: Bradbury
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003872:Dermatitis / Q000188:drug therapy*; D004643:Emollients / Q000627:therapeutic use*; D005242:Fecal Incontinence / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D064647:Nephrology Nursing / Q000592:standards*; D017410:Practice Guidelines as Topic; D017592:Skin Care / Q000379:methods*; D016896:Treatment Outcome; D006113:United Kingdom; D014549:Urinary Incontinence / Q000451:nursing*
chemical_list: D004643:Emollients
keywords: Barrier; Damage; Dermatitis; Incontinence; Protection; Skin