【Learning points】

  1. Incontinence-associated dermatitis is skin damage caused by exposure to urine or feces.
  2. Follow the rules of cleansing, ventilating, and isolating to prevent IAD.
  3. Not only IAD brings pain and itching, but also it increases the risk of pressure injury or skin infections.

I. What is "Incontinence-associated dermatitis" (IAD)?

Incontinent dermatitis also known as red buttocks, it is skin damage caused by exposure to urine or feces. It is frequent in people in critical condition, such as those long-term bedridden or incontinent, and the elderly.

Not only IAD brings pain and itching, but also it increases the risk of pressure injury or skin infections. That is why its prevention is vitally important

II. What causes IAD?
375f8cc1bcf450ca2b55baa9191dbfc1.png 99fa1efcc7cb30b3a9cc38131675e8b1.png
aged skin incontinence
35893440b530ea10b94794926197d339.png 1710119e487e82f968e2796263500aac.png
humid environment. activity limitation.
89c6a2d846b82d0339f15e058ccd3a2f.png 92b6cbe9ce5046dc0d34359b46ea163e.png
decreased sensory perception friction (caused by absorbent pads or other materials)
 
III. How to prevent IAD?
  1. Clean
    e475e6b36681a6fa8d56b6485114128a.png 9831480f0a1f7de5c44f12b64cdee79b.png
    clean the skin by tapping avoid friction
    eb676dd62c2c4d7fd13354491888e0d8.png da61f35b44f25f68f556161cf12d5096.png
    avoid cleansers that contain alcohol, essences, or basic soaps clean the skin before using skin protection products.
    dbd8f4e37b85a74d4e8ec3ed1e700233.png
    hange the diaper as soon as possible after every excretion.
     
  2. Ventilate
    f86b1e9f5f59b840006e08b0e3161f9d.png 8324bbe7127fa57b5b85b44fa8c7a870.png
    Check the diaper and skin
    every two hours.
    Choose water-absorption
    diapers and underpads.
    1691ce9f0e47a6eb0b44ec8f997c6a3b.png
    Avoid excessive drying of the skin with hair dryers or oven lamps.
     
  3. Isolate
    f11bf6bec8f3f425f112783c5a5127bc.png 57ada6c3631c2b7150e6f545f628545c.png
     Use products such as cream and ointment
    to protect the skin
     Consult a dermatologist
    or certified wound care nurse if necessary.
     
IV. Conclusion

Our skin can protect us from infections and improve our comfort. So, comply with the guidance of healthcare workers and follow the rules of cleansing, ventilating, and isolating. Clean your skin with appropriate products to prevent future episodes of IAD.An ounce of prevention is worth a pound of cure!

V. References
  1. 陳安婷、黃美華、陳秋臻、王怡婷、陳麗貞(2020)∙運用團隊合作降低失禁性皮膚炎發生率∙護理雜誌,67(1),89-97。
  2. 褚淑芸、徐淑芬、黃映綺、陳思佳(2021)∙降低加護病房病人失禁性皮膚炎發生率∙馬偕護理雜誌,15(1),12-22。

 
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    資料夾名稱
    English
    發表人
    陳伶芬
    單位
    中榮護理衛教
    英文名稱
    Prevention of the Incontinence-associated dermatitis
    分類
    疾病
    科別
    英語
    癌症照護
    建立
    2024-01-31 14:51:05
    制訂日期
    2017-08-30
    最近修訂
    2024-03-21 14:25:00
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