• For cleansing of skin and hair in a shower/tub bath.

Shower or bath:

• Apply a quarter-sized dab/dollop of gel onto a damp cloth or directly onto skin 
• Gently wash skin.   
• Repeat until bathing is completed.   
• An average of 3-4 quarter-sized dabs/dollops of gel is needed for a complete bath.
• RINSE off  fully. 
• Pat dry 

Hair Cleansing: 

• Apply to wet hair, gently work in
• Rinse well and towel dry.
• Note: Gel produces a small amount of suds as it is sulfate-free.    

• For cleansing of skin and hair at bedside (when unable to do a shower/tub bath).
  
• Do not dilute.

Bedside Bathing:

• Use palm of the hand to dispense 1-3 pumps either onto a damp, cloth or directly onto skin/soiled area.
• Gently wash.
• Repeat until bathing is completed.
• Maximum 10 pumps of foam is needed for a complete bath.
• Do not rinse off; pat dry.

Hair Cleansing:

• Apply to wet or dry hair; gently work in.
• Do not rinse; towel dry.

• For maintenance of skin health.
  
• For prevention of skin tears
• For treatment of dry skin
• Do not use for prevention of incontinence associated dermatitis

• Apply a thin layer to clean skin.
  
• Most effective when applied to slightly damp skin immediately after a shower/ bath.

Caution: For feet:

• Do not apply between toes.
• Ensure socks/ shoes are worn to
• prevent falls.

Maintenance of skin health: Apply daily.

Prevention of skin tears: Apply twice per day.

Treatment of dry skin: Apply twice per day.

• With dimethicone 1.5%
  
• Skin protectant
• Temporarily protects and helps relieve chapped or cracked skin
• Beneficial for face, hands, body and legs.

• Apply a thin layer to clean skin.

Remedy® with Phytoplex™ Hydraguard Silicone Cream

• For prevention & treatment of Mild-Moderate incontinence associated dermatitis.
  
• For treatment of very dry, cracked skin.
• As barrier around wounds/ drains/ tubes.

• Apply a thin layer.
  
• If applied around wound/ tube/drain, let dry 1-2 min before applying dressing. Do not use with silicone dressings.

Caution: For feet:

• DO NOT apply between toes.
• Ensure socks/ shoes are worn to prevent falls.

Prevention & treatment of Mild Moderate IAD: After every incontinent episode.

Treatment of very dry, cracked skin: Apply twice per day.

Prevention & Treatment of Periwound/ tube/ drain moisture associated dermatitis: Apply as ordered.

• For treatment of Moderate-Severe incontinence associated dermatitis.
  
• For prevention of incontinence associated dermatitis in the case of severe diarrhea.

• Apply cream onto palm of hand.
  
• Apply in one direction. The cream will “follow your hand”. Do not rub.
• Apply a 5mm thick layer to ensure that skin is not visible through the cream.
• Repeat steps until affected area is covered.

Cleansing an Incontinent Episode

• Apply No-Rinse Remedy Foam Cleanser onto a damp cloth or directly onto soiled area.
• Wipe off the soiled EPC only. Re-apply more EPC cream as needed.
• Do not remove all EPC with every incontinence episode unless doing askin assessment.

After every incontinent episode.

Removal of all EPC for skin assessment Q3days/ prn:

• Apply No-Rinse Remedy Foam Cleanser or the Shampoo & Body Wash (if doing a shower/tub bath) directly onto the EPC.
• Let sit for 2-3 minutes then wipe with damp cloth.
• Repeat to remove all of the cream.

• Treatment of extremely dry skin; especially on lower legs/feet and for patients with diabetes or renal failure.
  
• AHA is effective for removing flakey skin which allows urea moisturizer to penetrate the skin.
• Not indicated as a basic skin moisturizer unless there is a client specific order.

• Cleanse to remove any loosened dead skin.
• Pat dry to remove excess moisture but leave skin slightly damp.
  
• Spread/gently rub cream over skin until cream is absorbed.

Caution:

• Do not apply between toes.
• May sting if applied to irritated/broken skin.
• Test cream on a small area to assess client’s tolerance prior to applying to large area(s).

Twice a day.

Stop using cream when all the dead skin is removed. Use a basic moisturizer to maintain healthy skin. 

• Prevention & treatment of intertrigo and moisture in skin folds, finger/toe web spaces and hands with contractures where the client is a risk for a local infection or has signs and symptoms of a local infection.
  

• Cleanse area; pat dry.
  
• Skin Folds – cut a sufficient length/width of gauze to ensure it is in contact with all skin within skin fold (not just base of fold).
• Toes or Fingers – weave ribbon between toes/ fingers. Do not completely wrap the digit as this may cut off the blood flow.

Caution: Do not use with creams, ointments, powders, sprays, petrolatum-based products or antifungals products e.g. Clotrimazole.

Change at least daily or whenever soiled or damp.

• Prevention & treatment of intertrigo and moisture in skin folds, finger/toe web spaces and hands with contractures where the patient is at risk for a local infection or has signs and symptoms of a local infection.
  

• Sheet maybe cut either lengthwise or width-wise.
  

Day 1:

• Cleanse area; pat dry.
• Lay a single layer of the sheet into base of skin fold. Smooth down. Ensure 5cm of sheet is outside the skin fold and exposed to air to allow for wicking of moisture out of the fold.
• Write date on exposed sheet. Secure PRN.

Days 2, 3, 4, 5:

• Remove sheet daily; cleanse skin, pat dry.
• Reposition same piece as described above.

Caution: Do not use with creams, ointments, powders, sprays, petrolatum-based products or antifungals products e.g. Clotrimazole.

Assess daily. Change sheet on Day 5 or earlier if soiled. Some discoloration of the sheet is expected.

Triad™ Hydrophilic Wound Dressing

Caution: Product is not a skin barrier cream.

Indications:

• A wound treatment plan must be in place.
• Triad is a zinc-based paste dressing that is used on moist, open, weeping areas and when left open to air, dries to provide a cover-like dressing.
• It is a zinc oxide-based hydrophilic paste absorbs moderate levels of wound exudate
• Facilitates autolytic debridement

• Apply a 3mm thick layer (thickness of a dime) such that the wound is not visible through the cream.
  
• Allow dressing to dry for 15-20 minutes.
• If patient unable to be positioned off the wound during the drying time, apply a cover dressing over the paste.

Caution: Triad can be wiped off or washed off (if in contact with fluid e.g., urine) if not allowed to dry or if not protected with a cover dressing.

As per care plan

Removal:

• Apply Cleanser or Shampoo & Body Wash (if doing a shower/tub bath) directly onto the Triad.
• Let cleanser sit for 2-3 minutes then wipe with damp, soft cloth.
• Repeat to remove all of the cream.

• For the treatment of most athlete’s foot (tinea pedis), jock itch (tinea cruris), ringworm (tinea corporis)
  
• For the treatment of superficial skin infections caused by yeast (Candida albicans)
  
• Relieves itching, scaling, cracking, burning, redness, soreness, irritation, discomfort and chafing associated with jock itch.

• Helps relieve itching, cracking, scaling and discomfort associated with most common superficial fungal infections
• Relieves itching, scaling, cracking, burning, redness, soreness, irritation, discomfort and chafing associated with jock itch

• Helps relieve itching, cracking, scaling and discomfort associated with most common superficial fungal infections
• Relieves itching, scaling, cracking, burning, redness, soreness, irritation, discomfort and chafing associated with jock itch

Indications

• Temporarily protects and helps relieve chapped or cracked skin
  
• Protects minor skin irritation associated with perineal dermatitis

Do not use on

• Open package as designated
  
• Remove cloths and thoroughly cleanse soiled area
  
• Apply as needed
• Dispose of cloth in waste receptacle