01 May 2016

The skin performs many important protective functions, one of which is to act as a barrier to moisture, irritants and bacteria. Good management of patients’ skin is a fundamental part of nursing care to prevent development of complex and distressing problems, such as pressure ulceration and incontinenceassociated dermatitis (IAD). IAD is skin breakdown related to faecal and/or urinary incontinence, which requires adoption of a structured skin care regimen, including regular skin inspection, cleansing and the use of skin barrier protectants, to proactively protect the skin from irritant bodily fluids. Six case studies using Medi Derma-S skin barrier protectants on patients with IAD highlighted the potential for improved clinical outcomes on skin either vulnerable or compromised due to the effects of incontinence. Positive observations were noted with regard to improvement in skin condition, pain and discomfort, promotion of independence and prevention of deterioration of concurrent pressure damage.

by Geraldine Southgate and Sarah Bradbury

30 December 2012

Skin damage caused by excessive moisture  from perspiration, ostomy sites, wound exudate, urine and or faeces can cause significant suffering for patients.

Part of the treatment protocol for patients at risk of moisture-related skin damage includes the use of barrier films. However, there is little evidence on the durability and effectiveness of this product range.

This study examined the protective effect of a selection of film products in 11 subjects. The results show that the application of barrier films has a protective effect in delaying the removal of stained stratum corneum. Both Derma-S Barrier Film (Medicareplus International) and 3M™ Cavilon™ Barrier Film (3M) demonstrated their ability to retain stained stratum corneum.