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Prevention and management of moisture-associated skin damage
David Voegeli1, Sarah Hillery2
1Professor of Nursing, Faculty of Health and Wellbeing, University of Winchester.
Abstract:
Disruption to the integrity of the skin can reduce patient wellbeing and quality of life. A major cause of skin breakdown is prolonged exposure to moisture, but this is often overlooked. When skin is wet, it becomes more susceptible to damage from friction and shearing forces, and skin flora can penetrate the disrupted barrier, causing further irritation and inflammation. If untreated, moisture-associated skin damage (MASD) can rapidly lead to excoriation and skin breakdown. MASD includes incontinence-associated dermatitis (IAD), which is caused by prolonged skin exposure to urine and stool, particularly liquid stool. For patients at a high risk of developing IAD, preventive measures should be instituted as soon as possible. The main one is to prevent excessive contact of the skin with moisture. Optimal skin care should be provided to patients with any form of MASD. It should be based on a structured regimen and include the use of a gentle skin cleanser, a barrier product and moisturiser. Derma Protective Plus is a liquid barrier that gives long-lasting protection against chafing or ingress of urine and stool into the skin. This product is less greasy than others, and provides a barrier and a healing environment, with resistance to further maceration from IAD or persistent loose stools.
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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