Incontinence and Incontinence-Associated Dermatitis

University of North Dakota College of Nursing, Grand Forks, USA.
Advances in skin & wound care (Impact Factor: 1.11). 03/2011; 24(3):126-40; quiz 141-2. DOI: 10.1097/01.ASW.0000395037.28398.6c
Source: PubMed


PURPOSE: To enhance the learner's competence in prevention and treatment of incontinence-associated dermatitis (IAD). TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES: After participating in this educational activity, the participant should be better able to: 1. Relate the pathophysiology of IAD to the development of signs and symptoms. 2. Use assessment and intervention tools in the care of patients with IAD. 3. Construct an effective plan of care for patients with IAD. ABSTRACT: Incontinence is a prevalent problem and can lead to many complications. Both urinary and fecal incontinence can result in tissue breakdown, now commonly referred to as incontinence-associated dermatitis. This article addresses the types of incontinence, its etiology and pathophysiology, assessment, prevention and treatment, and the latest research.

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    • "Incontinence can lead to numerous complications. One of the most common complications is perineal skin breakdown (Gray, 2010; Langemo et al, 2011). The terminology used to describe perineal skin breakdown caused by incontinence is heterogeneous and rather confusing; more than 18 different terms occur, ranging from incontinence-associated dermatitis to skin maceration, perineal dermatitis, incontinence dermatitis, diaper dermatitis, napkin dermatitis, napkin rash and napkin erythema (Beeckman et al, 2009). "

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    Full-text · Article · Dec 2011 · Advances in skin & wound care
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