Page 301 - CHHA Binder 2.3.20

2/2/2020

Incontinence Associated Skin Damage

Inflammation of the skin associated with exposure to
leaked urine or stool

Goal - Prevention
 Cleanse perineal skin after each incontinent episode
and daily with a no rinse cleanser close to 5.5 ph
 Avoid urea, glycerin, alpha hydroxyl acids and lactic
acid products- add too much moisture to the skin.
 3 in 1 products/sprays that cleanse/moisturize and
have skin protectant properties
 Fecal- requires skin protectant ointment
/paste/dimethicone, liquid clear barrier film,
petroleum, zinc oxide.
Wound,Ostomy and Continence Nurses Society, Continence
Committee
Incontinence Associated Dermatitis , Best Practice for Clinicians.
Wound Ostomy Continence Nurses Society.2011; pp 6-9.

References

Agency for Healthcare Research and Quality (AHRQ) www.ahrq.com
Baranoski, S.,& Ayello, E.A.,Wound Care Essentials,Practice Principals.
Second Edition (2008), Lippincott, PA
Braden, B., & Bergstrom, N. (1988). Braden scale for predicting
pressure sore risk. Retrieved from http://www.bradenscale.com
Bryant, R. A.,Nix, D.P., Acute & Chronic Wounds Current Management
Concepts. Fourth Edition (2012), Mosby, Missouri
Center for Medicare & Medicaid Services (effective 1/1/2017). OASIS C-
2 Guidance Manual.
National Pressure Ulcer Advisory Panel. Pressure Injury Stage.
Retrieved from:
. http://www.npuap.org/resources/educational-and-clinical-
resources/npuap-pressure-injury-stages/ Washington
DC:NPUAP;2016.
Wound Ostomy Continence Nurse Society (n.d.). Clinical fact sheet
quick assessment of leg ulcers. Retrieved from
http://www.wocn.org/pdfs/WOCN_Library/Fact_Sheets/C_QUICK1.p
df

11