Southgate G, Bradbury S, et al.
British journal of nursing (Mark Allen Publishing). Date of publication 2016 May 12;volume 25(9):S20-9.
1. Br J Nurs. 2016 May 12-25;25(9):S20-9. doi: 10.12968/bjon.2016.25.9.S20.
Management of incontinence-associated dermatitis with a skin barrier protectant.
Southgate G(1), Bradbury S(2).
Author information:
(1)Assistant Practitioner, Oxfordshire Community Bladder and Bowel Service,
Oxford Health NHS Foundation Trust.
(2)Clinical Nurse Advisor, Medicareplus International.
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.
DOI: 10.12968/bjon.2016.25.9.S20
PMID: 27172503 [Indexed for MEDLINE]
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