![]() While the threats to skin integrity presented by pressure, shear and friction are well known, frequent exposure of a patient's skin to excessive moisture is often overlooked as a major cause of skin breakdown. In simple terms, skin integrity can be defined as the skin being ‘whole, intact and undamaged’ and disruption to skin integrity can have a negative effect on patient wellbeing and quality of life ( Woo et al, 2017 Fletcher et al, 2020). The promotion and maintenance of skin integrity is a common challenge in all care settings and is often used as an indicator of the overall quality of nursing care provided. 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. Derma Protective Plus is a liquid barrier that gives long-lasting protection against chafing or ingress of urine and stool into the skin. It should be based on a structured regimen and include the use of a gentle skin cleanser, a barrier product and moisturiser. Optimal skin care should be provided to patients with any form of MASD. The main one is to prevent excessive contact of the skin with moisture. For patients at a high risk of developing IAD, preventive measures should be instituted as soon as possible. ![]() MASD includes incontinence-associated dermatitis (IAD), which is caused by prolonged skin exposure to urine and stool, particularly liquid stool. If untreated, moisture-associated skin damage (MASD) can rapidly lead to excoriation and skin breakdown. 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. A major cause of skin breakdown is prolonged exposure to moisture, but this is often overlooked. Disruption to the integrity of the skin can reduce patient wellbeing and quality of life.
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