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Incidence and Characteristics of Incontinence-Associated Dermatitis in Community-Dwelling Persons With Fecal
Donna Zimmaro Bliss1, Taylor Funk, Megan Jacobson
1Donna Zimmaro Bliss, PhD, RN, FAAN, FGSA, University of Minnesota School of Nursing, Minneapolis, Minnesota. Taylor Funk, BSN, RN, University of Minnesota School of Nursing, Minneapolis, Minnesota. Megan Jacobson, BSN, RN, University of Minnesota School of Nursing, Minneapolis, Minnesota. Kay Savik, MS, University of Minnesota School of Nursing, Minneapolis, Minnesota.
Summary
Incontinence-associated dermatitis (IAD) affects 41% of community-living individuals with fecal incontinence, causing discomfort. Early assessment and management by WOC nurses can improve patient outcomes.
Area of Science:
- Dermatology
- Gastroenterology
- Gerontology
Background:
- Incontinence-associated dermatitis (IAD) is a common issue, yet its incidence and characteristics in community-dwelling individuals with fecal incontinence are not well-documented.
- Understanding IAD prevalence is crucial for developing targeted prevention and management strategies in this population.
Purpose of the Study:
- To determine the incidence and characteristics of self-reported IAD in community-living adults experiencing fecal incontinence.
- To investigate potential associations between IAD and factors such as age, sex, urinary incontinence, and fecal incontinence severity.
Main Methods:
- A secondary data analysis was conducted using a prospective cohort design.
- Data were collected from 98 community-living adults with fecal incontinence, who self-assessed for IAD daily over 52 days.
- Fecal incontinence severity was recorded using a diary, and IAD characteristics (type, location, symptoms) were documented.
Main Results:
- The incidence of IAD was 41%, with development typically occurring within two weeks and healing in approximately one week.
- Individuals who developed IAD had a significantly higher fecal incontinence severity score (1.2 points higher, P < .001).
- Redness (60%) and soreness (78%) were the most common signs and symptoms, with 85% of cases localized to one area. No significant association was found with age, sex, or combined fecal and urinary incontinence.
Conclusions:
- IAD is a common and uncomfortable condition for community-living individuals with fecal incontinence, necessitating regular assessment.
- The findings highlight an opportunity for Wound, Ostomy, and Continence (WOC) nurses to proactively manage and prevent IAD, thereby enhancing patient quality of life.
- Early detection and intervention are key to improving outcomes for patients experiencing IAD related to fecal incontinence.
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