Incontinence-Associated Dermatitis, Characteristics and Relationship to Pressure Injury – A Multisite Epidemiologic Analysis
Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAAN, FAANP; and Karen K. Giuliano, PhD, RN, FAAN
J Wound Ostomy Continence Nurs. 2018 Jan; 45(1): 63–67.
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A Prospective, Descriptive, Quality Improvement Study to Decrease Incontinence-Associated Dermatitis and Hospital-Acquired Pressure Ulcers
Kimberly D. Hall, DNP, RN, GCNS-BC, CWCN-AP; and Rebecca C. Clark, PhD, RN
Ostomy Wound Management 2015;61(7):26–30
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Incontinence-Associated Dermatitis: Consensus Statements, Evidence-Based Guidelines for Prevention and Treatment, and Current Challenges
Doughty D
JWOCN
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A 3-in-1 Perineal Care Washcloth Impregnated With Dimethicone 3% Versus Water and pH Neutral Soap to Prevent and Treat Incontinence-Associated Dermatitis
Beeckman D
JWOCN
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Incontinence-associated dermatitis: a consensus
Gray M, Bliss D, Doughty D, Ermer-Seltun J, Kennedy-Evans K, Palmer M
Journal of Wound, Ostomy and Continence Nursing 2007 Jan/Feb;34(1):45-54.
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Risk factors associated with having a pressure ulcer: a secondary data analysis
Maklebust J
Advances in Wound Care. Nov 1994;7(6):25,27-8,31-4 passim.
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Location, Location, Location: Incontinence care supplies at the bedside
Schmitz T
Nursing Management
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Perineal Dermatitis in Critical Care Patients
Driver D
Crit Care Nurse 2007 Aug; 27(4): 42-46
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Evaluating the efficacy of a uniquely delivered skin protectant and its effect on the formation of sacral/buttock pressure ulcers
Clever K
Long-Term Care Unit, Fulton County Medical Center, McConnellsburg, PA
Ostomy/Wound Management. Dec 2002;48(12):60-7.
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A review of perineal skin care protocols and skin barrier product use
Nix D
Ostomy/Wound Management. Dec 2004;50(12):59-67.
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Save our skin: initiative cuts pressure ulcer incidence in half
Courtney BA
Nursing Management. Apr 2006;37(4):36-45.
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A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes
Lyder CH
Ostomy/Wound Management. Apr 2002;48(4):52-62.
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What the Experts Say – Incontinence Care & Pressure Ulcer Prevention
Excerpts from various studies/articles, 1994-2008.
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What the experts say about the financial implications of pressure ulcers
Excerpts from various studies/articles, 1996-2003.
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IHI Protecting 5 Million Lives From Harm Campaign targets pressure ulcer prevention
The 5 Million Lives Campaign is an initiative to protect patients from five million incidents of medical harm.
(December 2006 – December 2008).
IHI “Prevent Pressure Ulcers” How-to Guide1,2
4.Manage Moisture: Keep the Patient Dry and Moisturize Skin
Cleanse skin at time of soiling and at routine intervals with “gentle use of a mild cleansing agent that minimizes irritation and dryness of the skin.”
“Minimize exposure of the skin to moisture due to incontinence, perspiration, or wound drainage.”
“Use topical agents that act as moisture barriers and moisturize the skin.”
“Provide supplies at the bedside of each at-risk patient who is incontinent. This provides the staff with the supplies they need to immediately clean, dry, and protect the patient’s skin after each episode of incontinence.”
“Provide premoistened, disposable barrier wipes to help cleanse, moisturize, deodorize, and protect patients from perineal dermatitis due to incontinence.”
Download “Prevent Pressure Ulcers” How-to Guide
Download “Prevent Pressure Ulcers” Annotated Bibliography
View campaign materials for pressure ulcer prevention (and all 12 campaign interventions)
View campaign highlights
Pressure ulcer prevention points
The National Pressure Ulcer Advisory Panel (NPUAP), Reston, VA.Summary of the AHCPR Clinical Practice Guideline, Pressure Ulcers in Adults: Prediction and Prevention (AHCPR Publication No. 92-0047. Rockville, MD: May 1992).
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Prevalence of incontinence and associated skin injury in the acute care inpatient
Junkin J
J Wound Ostomy Continence Nurs. 2007 May-Jun;34(3):260-9.
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21-day Cumulative Irritancy Patch Test: Comfort Shield® Perineal Care Washcloths
West
Northwestern University Department of Dermatology, Chicago IL, Jul/Aug 1999.
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Best-practice protocols: Reducing harm from pressure ulcers
Griffin B
Nursing Management Sep 2007; 38(9): 29-32
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Protecting patients from harm: Preventing pressure ulcers in hospital patients
Ayello
Nursing 2007 Oct 2007; 37(10): 36-40
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Nursing opinion poll reveals pressure ulcer prevention not seen as a top priority
ICT Online
Poll conducted at the Wound Ostomy Continence Nurse Society 2004 annual conference by Sage Products Inc, Jun 2004.
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Risk factors for pressure ulcers
Wounds1.com, WOUND NEWS: Wound Technology, Jan 22, 2002.
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My scope of practice: one-step care yields big results
Zeiger B
Ostomy/Wound Management. Dec 2005;51(12):18-20.
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