(Sk)Intelligence – Effective Treatment of IAD

Did you know it is estimated that 25% of elderly people in care suffer regular faecal incontinence.1 As we age, our skin becomes thinner and more fragile, leaving us vulnerable to a variety of skin conditions. One such condition is Incontinence Associated Dermatitis (IAD), which can have a devastating effect on an individual’s quality of life.

As we age, our skin becomes thinner and more fragile, leaving us vulnerable to a variety of skin conditions. One such condition is Incontinence Associated Dermatitis (IAD), which can have a devastating effect on an individual’s quality of life. Impacting on both physical and mental health, incontinence is high on the health agenda and we all know someone who suffers (or has suffered) with this issue. IAD compromises skin integrity and can cause pain, discomfort, and loss of independence.

Physical harm related to continence complications can lead to hospital or care home admission for extended lengths of time, or even permanently.2

What contributes to IAD?

  • Prolonged exposure to urine and/or faeces
  • Frequent skin cleansing with soap and water
  • Inappropriate cleansing technique

IAD affects as many as 41% of adults in long-term care; it is costly, painful and for the most part  preventable.3

Feeling the pressure

It’s well known that inadequate IAD treatment increases the risk of pressure ulcer development.

  • 700,000 people a year are affected by pressure ulcers. This places significant cost on the NHS, with each ulcer contributing over £4000 in additional costs.4
  • Nursing time accounts for 90% of the overall cost of pressure ulcer treatment.5
  • Pressure ulcer treatment costs the NHS £3.8 million per year. 4
What can be done about it?

Skin care is one of the cornerstones of nursing practice; however is an area often overlooked. Simple, low-cost interventions such as the introduction of a skin cleansing product like our Clinisan™ or Senset™ foam, can have a positive impact on quality of life and help protect the skin.

What is Clinisan™/Senset™ foam?

With a similar consistency to shaving foam, the product gently lifts soiling, whilst cleansing, restoring and moisturising the skin.

  • Convenient pre-packaged solution saves time
  • Eliminates the need for soap and water
  • Quick-drying formulation reduces friction caused by drying
  • Emollients provide protective barrier supporting skin recovery

Product evaluations have consistently reported that ClinisanTM foam is a cost-effective method for reducing incontinence-induced skin breakdown.6

Which one should I choose?

Both products are the same, with the only difference being the branding. Clinisan™ is the leading-brand in the care home sector and Senset™ is the leading-brand in hospitals. Both are available on prescription.

Restore more than just skin.

Dignity. The Royal College of Nursing claim that if you ask someone suffering with incontinence how they feel about their problem, they’ll almost invariably tell you that the hardest part is the humiliation they feel about the loss of dignity it brings. Our skin cleansing foams (and many of our other products) enhance patient dignity, directly improving the quality of life of many individuals.

Use of traditional soap during cleansing is known to alter the skin’s pH levels, often causing skin damage.8

This is something we feel very passionate about, with our mantra being Reducing Risk, Enhancing Dignity. Worryingly, a 2016 review found that there were no intervention studies in any country which aimed to improve patient dignity in hospitals.9

With an over-stretched healthcare system, essentially, it’s up to us to champion the patient’s needs and put them at the centre of everything we do.

 

For more information about the Clinisan range, click here.

 

 

 

 

 

 

 

 

References:

  1. Department of Health (2000). Good practice in continence services.
  2. NHS England (2015). Excellence in continence care: Practical guidance for commissioners, providers, health and social care staff and information for the public.
  3. Nix D, Haugen V. (2010). Prevention and management of incontinence associated dermatitis. Drugs Aging.
  4. NHS England (2014). Help nurses care – A view from the front line on the ‘Stop the Pressure’ campaign.
  5. Beeckman D et al. (2015). Proceedings of the Global IAD Expert Panel. Incontinence-associated dermatitis: moving prevention forward. Wounds International.
  6. Geraghty J. (2011). Introducing a new skin care regimen for the incontinent patient. BJN; 20(7): 409-15.
  7. Cooper P, Gray D. (2001) Comparison of two skin care regimes for incontinence. British Journal of Nursing 10(6) S6-S20.
  8. Wounds UK (2012). Best Practice Statement Care of the Older Person’s Skin.
  9. Zahran Z. et al. (2016) Systematic review: what interventions improve dignity for older patients in hospital? Journal of Clinical Nursing. Feb;25(3-4)