Incontinence Associated Dermatitis
Incontinence is uncomfortable enough in itself, but all people with incontinence are also at risk of developing IAD (Incontinence Associated Dermatitis). Incontinence Associated Dermatitis is a health care challenge worldwide, reducing comfort and quality of life for those affected.
Anyone living with incontinence is at risk of developing IAD. This means that an estimated 25% of nursing home residents are at risk of developing IAD due to incontinence. Because of its widespread prevalence, incontinence management is an important task in all types of health care settings.
The good news is that when treated early and with the right products, IAD can be reduced and cured – and in most cases even prevented. A lot can be done to prevent IAD by applying a structured skin care program and using appropriate products that protect the skin in exposed areas.
Our experts are ready to give you advice about how to implement the right regimen that meets your residents’ needs.
What is IAD?
Incontinence Associated Dermatitis (IAD ) is a condition that occurs when the skin is damaged as a result of exposure to urine and/ or feces. A number of factors may contribute to the development of IAD, such as infrequent change of diapers (causing a moist environment), poor hygiene, use of products that are not breathable, wrong use of skin care products, or frequent use of soap, water, and rough washcloths and towels (causing friction).
The skin becomes more alkaline when exposed to urine and/or feces, allowing microorganisms to thrive and increasing the risk of skin problems. IAD typically appears as erythema (redness of the skin) ranging in color from pink to red.
The affected area usually has frayed edges and the skin may feel warmer and firmer due to the underlying inflammation. Patients with urinary and/or fecal incontinence should have their skin checked regularly, preferably daily, for any signs of IAD.
Preventing IAD and other skin problems
Prevention is better than treatment, and when it comes to incontinence, good hygiene is of utmost importance.
With the right skin care regimen and incontinence care routines, IAD can be prevented. Or, if identified early and accurately, IAD can be reduced and cured.
In addition, preventive measures should include daily detailed observation of the patient’s skin durng everyday care. This way, the caregiver can identify any changes in the skin and prevent problem from arising in a timely manner.
Some preventive measures may include:
- Daily examination of the skin. If changes are noticeable (such as moist skin, redness, cracks and surface damage, elevated temperature, eczema or skin rash), measures should be taken immediately.
- Turning or changing the position of the patient every two hours if the patient is bedridden
- Using high quality, breathable incontinence products
- Using customized mattresses, pressure relief aids and position pads to prevent irritation
- Avoid bedding, towels or clothes that irritate the skin
- Wash gently and apply the right skin care products
