April 10 Webinar: Factors Affecting Skin Injuries and Strategies for Prevention and Treatment
By Anita Meador | April 5, 2019
With more than 30 years experience in healthcare across the care continuum, I’ve seen patients with all kinds of skin breakdowns. It hit my personal life when I saw my dad suffer through a skin tear that he got from getting out of a hospital bed. The future of healthcare puts focus on self-management and as clinicians, we need to help our patients understand the importance of healthy skin to help prevent skin injuries. The more we are able to educate, the more people will be prepared to care for themselves.
Healthy skin links closely to overall good health. When an individual is exposed to a skin injury, it often negatively impacts the immune system and the body’s ability to heal. While pressure injuries are one of the most common skin breakdown issues affecting more than 2.5 million people, there are a few other common skin alterations that have a critical influence on a patient’s overall health that must be considered. Moisture Associated Skin Damage including Incontinence Associated Dermatitis and Intertriginous Dermatitis are just a few examples.
Here is a sneak peek at an upcoming Medline webinar titled “Skin Injuries: More Than Just Pressure” that will explore strategies for addressing different types of skin injuries including:
Moisture Associated Skin Damage (MASD)
Clinicians often want to stage MASD as a pressure injury, but it cannot be staged. MASD is differentiated from Stage 1 and Stage 2 Pressure Injuries by assessing the location of tissue damage and the wound bed characteristics. MASD can take on various forms, two of the most common forms being Incontinence-Associated Dermatitis and Intertriginous Dermatitis. A mild case of MASD will present itself as irritation, but a severe case is accompanied by blistering and denudation. When deciphering between pressure injury and MASD, location is key. The webinar will help clinicians consider and answer the following questions::
1) Is it localized or spread over a wide area?
2) Is it within a skin fold?
3) Is it in a previous wound area?
Incontinence Associated Dermatitis (IAD)
IAD is an inflammatory response on the skin caused by prolonged exposure to urine or stool and is often located on the perineum, perigenital area, buttocks, gluteal folds, medial and posterior aspects of upper thighs. Reported incidence rates in long-term care settings often vary, but can be as high as 50 percent in the presence of fecal incontinence.
Intertriginous Dermatitis (ITD)
This is an inflammatory condition of the skin caused by friction and moisture trapped between opposing skin and the most common areas an ITD forms include the groin, axilla, under the breasts and under the pannus. Risk factors include obesity, deep skin folds and diabetes. In order to successfully treat and prevent further ITDs, measures must be taken to ensure that skin folds are dry and free from friction.
Recognizing skin disorders is vital in providing holistic, outcome driven patient care. MASD and Pressure Injuries require careful assessment and differentiation to determine the best treatment plan. When assessing, you have to look at the whole person and their history. A few questions to consider when assessing:
1. What type of incontinence does the patient have?
2. Have there been changes to their nutritional diet or medications that would increase their incontinence episodes?
3. What does their skin care regime look like and what type of barriers and moisturizers are they using?
IAD and ITD are just two of the examples that will be highlighted in the upcoming webinar on April 10, 2019 and other topics will include skin tears and cutaneous manifestations of comorbidities.
Click here for more information and to register for the webinar.
Director of Clinical Services, RN, BC BSN
Anita Meador RN, BC BSN is the Director of Clinical Services, Eastern with expertise in continence management, skin care, advanced wound care and Medline Skin Health Solutions program. She received her Bachelor of Science in Nursing from Western Kentucky University and has a Gerontological Nurse Certification from the American Nurses Credentialing Center and a Clinical OASIS Certification. Meador is a Registered nurse with 34+ years of experience with clinical background in home health, medical surgical nursing, operating room, emergency room and staff development.