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Continence

This presentation by Jean Heer, RN, will cover the anatomy of the skin, the effects of incontinence on the skin, complications that can arise from incontinence, and prevention measures for managing incontinence. Learn about the three main layers of the skin and how to take care of it. Understand the impact of microorganisms and fluid contact on the skin, as well as the damage caused by fecal enzymes. Discover why using only one air flow pad is crucial for offloading the bed. Be the patient's advocate and use briefs and pads only when necessary.

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Continence

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  1. Continence Jean Heer RN BS CWOCN DAPWCA

  2. Objectives: • Anatomy of the skin • Effects of incontinence on skin • Complications of incontinence • Prevention measures for incontinence management • Discuss reasons for those measures

  3. Anatomy of the skin • 3 main layers

  4. Take care of the skin • Healthy skin normal PH between 4.3 and 5.9 • Microorganisms on the skin can effect the PH • Additionally, prolonged contact with fluid, can increase the permeability of the skin • Fecal enzymes damage the epidermis and be very caustic to the skin • Briefs and pad help retain moisture and heat

  5. Does this look familiar?

  6. How many pads were on this pt?

  7. Do we really need a brief?

  8. Did we need a brief and pads for him?

  9. “JUST IN CASE” OF WHAT?

  10. Remember: • ONLY use ONE air flow pad • Greatly decreases flow of air causing diminished offloading of bed • Be the patients advocate- don’t use the pads and briefs unless the patient REALLY needs it

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