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A Prospective, Descriptive, Quality Improvement Study to Decrease Incontinence-Associated Dermatitis and

Kimberly D Hall¹, Rebecca C Clark¹

¹Carilion Clinic, Roanoke, VA.

Ostomy/Wound Management

|July 18, 2015

Summary

This summary is machine-generated.

Hospitalized patients often experience incontinence, leading to skin issues like dermatitis and pressure ulcers. Implementing caregiver education and a specialized skin product significantly reduced hospital-acquired pressure ulcers but did not affect incontinence-associated dermatitis rates.

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Area of Science:

Nursing
Dermatology
Hospital Acquired Infections

Background:

Incontinence is a prevalent issue in hospitalized patients, contributing to significant health complications.
Incontinence-associated dermatitis (IAD) and hospital-acquired pressure ulcers (HAPUs) are common adverse events in acute care settings.

Purpose of the Study:

To determine the prevalence of incontinence and incidence of IAD and HAPUs in neurology units.
To assess the impact of caregiver education and a 1-step skin care product on IAD and HAPU development in incontinent patients.

Main Methods:

A prospective, descriptive study was conducted in two acute care neurology units.
Data on incontinence, IAD, and HAPUs were collected twice daily for one month.
Following initial data collection, clinicians received education, and a 1-step cleanser/moisturizer/barrier product was implemented for incontinent patients. Data collection continued with the same methodology.

Main Results:

In the pre-intervention phase, 42.5% of patients were incontinent, with 29.4% developing IAD and HAPUs.
In the post-intervention phase, 54.3% of patients were incontinent, but none developed IAD or HAPUs.
The incidence of HAPUs decreased significantly after the intervention, while IAD rates remained unchanged. Average Braden scale scores indicated higher risk in the intervention group.

Conclusions:

The prevalence of incontinence and incidence of IAD in acute care neurology units is high.
Caregiver education combined with a 1-step skin care product effectively reduced HAPU rates in incontinent patients.
Further controlled studies are needed to fully understand the impact on IAD and refine incontinence care protocols.