Prevention and management of moisture-associated skin damage

David Voegeli1, Sarah Hillery2

  • 1Professor of Nursing, Faculty of Health and Wellbeing, University of Winchester.

British Journal of Nursing (Mark Allen Publishing)
|August 11, 2021
PubMed

Insights

Prolonged moisture exposure damages skin integrity, leading to moisture-associated skin damage (MASD). Preventive measures and optimal skin care, including barrier products, are crucial for managing MASD and incontinence-associated dermatitis (IAD).

Area of Science:

  • Dermatology
  • Wound Care
  • Patient Safety

Background:

  • Skin integrity disruption negatively impacts patient wellbeing and quality of life.
  • Prolonged moisture exposure is a significant, often overlooked, cause of skin breakdown.
  • Wet skin is more vulnerable to friction, shearing forces, and microbial invasion, leading to irritation and inflammation.

Purpose of the Study:

  • To highlight the risks associated with moisture-associated skin damage (MASD).
  • To emphasize the importance of preventive measures for high-risk patients, particularly for incontinence-associated dermatitis (IAD).
  • To outline optimal skin care strategies for MASD management.

Main Methods:

  • Review of the pathophysiology of skin breakdown due to moisture.
  • Discussion of preventive strategies focusing on minimizing skin moisture exposure.
  • Recommendation of a structured skin care regimen including gentle cleansing, barrier products, and moisturizers.

Main Results:

  • Moisture-associated skin damage (MASD), including incontinence-associated dermatitis (IAD), can rapidly progress to excoriation and breakdown if untreated.
  • Preventive measures, primarily reducing skin moisture contact, are essential for high-risk individuals.
  • Optimal skin care involves a structured regimen with specific product types.

Conclusions:

  • Effective management of MASD requires prompt intervention and a structured approach to skin care.
  • Barrier products, such as Derma Protective Plus, offer long-lasting protection against irritants and maceration.
  • Maintaining skin integrity is vital for patient wellbeing and preventing serious skin complications.

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