1 / 17

Skin care and incontinence

Skin care and incontinence. Tissue Viability. How incontinence damages skin. Urinary incontinence changes the normal acid mantle to alkaline Skin becomes vulnerable to friction and shear forces

cilicia-romeo
Download Presentation

Skin care and incontinence

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Skin care and incontinence Tissue Viability

  2. How incontinence damages skin • Urinary incontinence changes the normal acid mantle to alkaline • Skin becomes vulnerable to friction and shear forces • A combination of faecal with urinary incontinence renders skin much more vulnerable than urinary incontinence alone • Faecal enzymes cause severe skin irritation that can quickly result in incontinence dermatitis with skin breakdown

  3. Incontinence dermatitis

  4. Skin care • Effective promotion of continence or management of incontinence is vital. • Act promptly - Minimise length of time skin in contact with urine etc. • Barrier products such as Cavilon™, which is compatible with many continence aids, may be applied. This is not a substitute for good hygiene. • Zinc oxide cream (Sudocrem™) and zinc and caster oil should generally be avoided.

  5. Cavilon – Durable Barrier Cream • 3M Cavilon Durable Barrier cream-3M™ Cavilon™ Durable barrier cream protects intact skin from bodily fluids and helps to prevent breakdown, whilst moisturising the skin. • It is immediately absorbed by the skin, and therefore will not clog incontinence pads • Every 3 washes or daily

  6. Cavilon Film • Alternatively, if the skin is already broken and sore, apply 3M™ Cavilon™ No Sting Barrier Film, which will protect the skin against bodily fluids for up to 72 hours, and promote skin-healing.

  7. Moisture lesions, frequently caused by incontinence, are often wrongly classified as pressure ulcers • Moisture must be present (e.g. shining, wet skin caused by urinary incontinence or diarrhoea)

  8. A moisture lesion may occur over a bony prominence. However, pressure and shear should be excluded as causes, and moisture should be present. • A combination of moisture and friction may cause moisture lesions in skin folds. A lesion that is limited to the anal cleft only and has a linear shape is no pressure ulcer and is likely to be a moisture lesion. Peri-anal redness / skin irritation is most likely to be a moisture lesion due to faeces.

  9. Diffuse, different superficial spots are more likely to be moisture lesions. In a kissing ulcer (copy lesion) at least one of the wounds is most likely caused by moisture (urine, faeces, transpiration or wound exudate).

  10. Skin care • Regular assessment of at risk areas • Good hygiene • Use of barrier films e.g. Cavilon • Well balanced diet • Adequate fluid intake • Regular repositioning

  11. Clinicians should develop assessment skills and management strategies to manage pressure ulcers, moisture lesions and also the combined lesion. In this way, best use can be made of resources and patient pain, suffering and loss of dignity can be avoided.

  12. Moisture lesions are superficial (partial thickness skin loss). In cases where the moisture lesion gets infected, the depth and extent of the lesion can be enlarged/ deepened extensively.

  13. Why is skin integrity important?

  14. Thank you for listening

More Related