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Perineal Skin Care Considerations

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Clinical Application of Urologic Catheters, Devices and Products

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Abstract

Skin damage is a clinical manifestation of both urinary incontinence (UI) and/or fecal incontinence (FI). Incontinence associated dermatitis (IAD) is characterized by irritation and inflammation of the skin from prolonged exposure to urine or stool. IAD can affect many different groups of patients but is most prevalent in the elderly and those with medical comorbidities. Prevention should be targeted to this “at risk” population, however it is known that the prevalence and incidence rates for IAD are significant across all care settings. Complications include infections, pain, skin damage, and pressure ulcers. Management goals should address skin maintenance, protection from fecal and urinary irritants, pain management, and treatment of secondary infections (www.wocn.org, Doughty et al., J Wound Ostomy Continence Nurs 39(3):303–315, 2012).

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References

  1. Gray M. Incontinence related skin damage: essential knowledge. Ostomy/Wound Manage. 2007;53(12):28–32.

    Google Scholar 

  2. Lodén M. Effect of moisturizers on epidermal barrier function. Clin Dermatol. 2012;30(3):286-296. DOI: 10.1016/j.clindermatol.2011.08.015.

    Google Scholar 

  3. Kraft JN, Lynde CW. Moisturizers: what they are and a practical approach to product selection. Skin Therapy Lett. 2005;10(5):1–8.

    Google Scholar 

  4. Beeckman D, Campbell J, Campbell K, Chimentao D, Coyer D, Domansky R, et al. In: Proceedings of the IAD expert panel: incontinence-associated dermatitis: moving prevention forward. Wound International; 2015a. p. 1–21. www.woundsinternational.com.

  5. Beeckman D, Van Damme N, Schoonhoven L, Van Lancker A, Kottner J, Beele H, Gray M, Woodward S, Fader M, Van den Bussche K, Van Hecke A, De Meyer D, Verhaeghe S. Interventions for preventing and treating incontinence-associated dermatitis in adults. Cochrane Database Syst Rev. 2016;11:CD011627.

    Google Scholar 

  6. Gray M, Black JM, Baharestani MM, Bliss DZ, Colwell JC, Goldberg M, Kennedy-Evans KL, Logan S, Ratliff CR. Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 2011;38(3):233–41. doi:10.1097/WON.0b013e318215f798.

    Article  PubMed  Google Scholar 

  7. Gray M, McNichol L, Nix D. Incontinence-associated dermatitis: progress, promises, and ongoing challenges. J Wound Ostomy Continence Nurs. 2016;43(2):188–92. doi:10.1097/WON.0000000000000217.

    Article  PubMed  Google Scholar 

  8. Beeckman D. A decade of research on incontinence-Associated Dermatitis (IAD): evidence, knowledge gaps and next steps. J Tissue Viability. 2016; pii: S0965-206X(16)00022-X. doi: 10.1016/j.jtv.2016.02.004

    Google Scholar 

  9. Bryant R, Nix D. Acute & chronic wounds. 5th ed. Elsevier/Mosby: St. Louis, MO; 2016.

    Google Scholar 

  10. Black JM, Gray M, Bliss DZ, Kennedy-Evans KL, Logan S, Baharestani MM, Colwell JC, Goldberg M, Ratliff CR. MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis: a consensus. J Wound Ostomy Continence Nurs. 2011;38(4):359–70. quiz 371-2 doi:10.1097/WON.0b013e31822272d9.

    Article  PubMed  Google Scholar 

  11. National Pressure Ulcer Advisory Panel (NPUAP 2016) Updated Pressure Injury Classifications http://static1.1.sqspcdn.com/static/f/1049328/27131293/1467294072110/Pressure+Injury+Staging+2009-2016-Final-6-14-16.pdf?token=9qoWTgQa2825BM7AtkxaYbEjxuA%3D.

    Google Scholar 

  12. Newman D, Preston A, Salazar S. Moisture control, urinary and faecal incontinence, and perineal skin management. In: Krasner D, Rodeheaver G, Sibbald R, editors. Chronic wound care: a clinical source book for healthcare professionals. 4th ed. Malvern: HMP Communications; 2007.

    Google Scholar 

  13. Voegeli D. Moisture-associated skin damage: an overview for community nurses. Br J Community Nurs. 2013;18(1):6–12.

    Article  PubMed  Google Scholar 

  14. Corcoran E, Woodward S. Incontinence-associated dermatitis in the elderly: treatment options. Br J Nurs. 2013;22(8):450–7.

    Article  PubMed  Google Scholar 

  15. Kottner J, Blume-Peytavi U, Lohrmann C, Halfens R. Associations between individual characteristics and incontinence-associated dermatitis: a secondary data analysis of a multi-centre prevalence study. Int J Nurs Stud. 2014;51(10):1373–80. doi:10.1016/j.ijnurstu.2014.02.012.

    Article  PubMed  Google Scholar 

  16. Beeckman D, Schoonhoven L, Fletcher J, Furtado K, Gunningberg L, Heyman H, et al. EPUAP classification system for pressure ulcers: European Reliability Study. J Adv Nurs. 2007;60(5):682–91.

    Article  PubMed  Google Scholar 

  17. Borchert K, Bliss DZ, Savik K, Radosevich DM. The incontinence-associated dermatitis and its severity instrument: development and validation. J Wound Ostomy Continence Nurs. 2010;37(5):527–35. doi:10.1097/WON.0b013e3181edac3e.

    Article  PubMed  Google Scholar 

  18. Runeman B. Skin interaction with absorbent hygiene products. Clin Dermatol. 2008;26(1):45–51. doi:10.1016/j.clindermatol.2007.10.002.

    Article  PubMed  Google Scholar 

  19. Doughty D, Junkin J, Kurz P, Selekof J, Gray M, Fader M, Bliss DZ, Beeckman D, Logan S. Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and treatment, and current challenges. J Wound Ostomy Continence Nurs. 2012;39(3):303–15. quiz 316–7 doi:10.1097/WON.0b013e3182549118.

    Article  PubMed  Google Scholar 

  20. Pather P, Hines S, Kynoch K, Coyer F. Effectiveness of topical skin products in the treatment and prevention of incontinence-associated dermatitis: a systematic review. JBI Database System Rev Implement Rep. 2017;15(5):1473-1496. DOI: 10.11124/JBISRIR-2016-003015

    Google Scholar 

  21. Beeckman D, Schoonhoven L, Verhaeghe S, Heyneman A, Defloor T. Prevention and treatment of incontinence-associated dermatitis: literature review. J Adv Nurs. 2009;65(6):1141–54. doi:10.1111/j.1365-2648.2009.04986.x.

    Article  PubMed  Google Scholar 

  22. Zehrer CL, Newman DK, Grove GL, Lutz JB. Assessment of diaper clogging potential of petrolatum moisture barriers. Ostomy/Wound Manage. 2005;51(12):54–8.

    Google Scholar 

  23. Lantiseptic product literature. Santus, mfg of lantiseptic: incontinence-associated dermatitis, moisture—associated skin damage, and pressure ulcer prevention: the benefits of a consistent skin care regimen using lanolin products

    Google Scholar 

  24. Junkin J, Selekof JL. Prevalence of incontinence and associated skin injury in the acute care inpatient. J Wound Ostomy Continence Nurs. 2007;34(3):260–9.

    Article  PubMed  Google Scholar 

  25. Gray M. Incontinence associated dermatitis in the elderly patient: assessment, prevention, and management. J Geriatr Care Manage. 2014:1–6.

    Google Scholar 

  26. Beeckman D, Woodward S, Rajpaul K, Vanderwee K. Clinical challenges of preventing incontinence—associated dermatitis. Br J Nurs. 2011;20(13):788–90. doi:10.12968/bjon.2011.20.13.784.

    Article  Google Scholar 

  27. Gray M. Preventing and managing perineal dermatitis: a shared goal for wound and continence care. J Wound Ostomy Continence Nurs. 2004;31(1):52–9.

    Article  Google Scholar 

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Authors and Affiliations

  1. 335 Regal Drive, Abingdon, MD, 21009, USA

    Kathleen E. Corcoran

  2. 8 Avis Circle, North Easton, MA, 02356, USA

    Patricia Webster

  3. Camden School of Nursing, Rutgers University Camden, Camden Residence Hall, 215 N 3rd Street, Camden, NJ, 08102, USA

    Jo Catanzaro

Authors
  1. Kathleen E. Corcoran
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  2. Patricia Webster
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  3. Jo Catanzaro
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Correspondence to Kathleen E. Corcoran .

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Corcoran, K.E., Webster, P., Catanzaro, J. (2018). Perineal Skin Care Considerations. In: Clinical Application of Urologic Catheters, Devices and Products. Springer, Cham. https://doi.org/10.1007/978-3-319-14821-2_8

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  • DOI: https://doi.org/10.1007/978-3-319-14821-2_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14820-5

  • Online ISBN: 978-3-319-14821-2

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