i
Continence care wipes can be used following every episode
of incontinence.
i
Carry out timed skin checks and reassess continence status
regularly, dependent on the patient’s condition and clinical decision.
i
Review continence management regularly. If episodes of urinary or
faecal incontinence, seek advice of continence specialist.
i
If secondary infection such as candidiasis (yeast), unusual skin
changes, lesions or skin breakdown occur, which do not improve
with routine skin care, consider medical referral.
i
Ensure correct absorbency of pads used to avoid skin drying out.
Only change pad if indicator three-quarters full, or if patient
faecally incontinent.
i
If skin is excoriated or broken, consider using a durable barrier
cream or barrier film.
i
Follow local guidelines and document all actions in the patient’s
care plan.
This document is a guide only and does not diminish the requirement to exercise clinical judgement and follow local policy. The publishers and 3M Health Care cannot accept
responsibility for the use of this information in clinical practice.
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For more information and to download this poster, go to: www.jcn.co.uk, or www.3m.co.uk/iad
dermatitis (IAD)
Erythema, inflammation and erosure of
skin as a result of exposure to urine
and faeces:
i
Found in perineum, in the labial folds,
groin, buttocks, or scrotum
from exposure to urine
i
Perianal and gluteal cleft from
exposure to stool
i
May include candidiasis
Assessment
i
Carry out holistic nursing assessment, include questions regarding
bladder and/or bowel function/habit
i
Pay special attention to skin folds, or areas where soil and
moisture may be trapped
i
Utilise an incontinence assessment tool if appropriate
i
Carry out urinalysis to exclude a urinary tract infection (UTI)
i
Record findings from the assessment and indicate where further
action is required
i
Use Bristol stool scale to help assess episodes of faecal
incontinence and rule out any faecal impaction/constipation
i
Document all actions in patient notes
SEVERE IAD
Excoriated weeping skin, island
lesions may be visible
Use a continence care
wipe after each episode
of incontinence
Barrier film every 24 hours
3M
