Skin Conditions/Skin Care

WoundSource Practice Accelerator's picture
incontinence-associate dermatitis prevention

by the WoundSource Editors

Although clinical practice is hampered by a lack of rigorous studies, standardized terminology, or definitions of incontinence-associated skin damage, it is well known among health care providers that this damage places patients at increased risk for pressure ulcer/injury development. The worldwide challenge represented by incontinence-associated skin damage prompted the development of a global expert panel on the topic in 2014. The group, chaired by Professor Dimitri Beeckman, a leading authority on the topic, collaborated to develop international best practice guidelines for prevention and treatment of incontinence-associated dermatitis (IAD) that were published in 2015.1

WoundSource Practice Accelerator's picture
complications associated with MASD

by the WoundSource Editors

Best practice in skin care focuses on the prevention of skin breakdown and the treatment of persons with altered skin integrity. When we ask what causes skin damage we should consider the conditions that can harm the skin, including excessive moisture and overhydration, altered pH of the skin, the presence of fecal enzymes and pathogens, and characteristics of incontinence such as the volume and frequency of the output and whether the output is urine, feces, or both. If left untreated or not treated appropriately, moisture-associated skin damage or MASD can lead to further complications such as Candida infections, bacterial overgrowth, pressure injuries, and medical adhesive-related skin injury (MARSI). These can occur individually or overlap, which can make them even more difficult to manage. Today our focus is to discuss each of these complications of MASD in more detail and address some of the most common issues leading to their development.

WoundSource Practice Accelerator's picture
skin assessment and moisture-associated skin damage

by the WoundSource Editors

The performance of an accurate and complete skin assessment is of utmost importance to obtaining and maintaining healthy skin. Understanding the structure and function of the skin is key to the differentiation of normal from abnormal findings. Having this baseline knowledge aids in determining the patient's level of risk, how skin is damaged, the impact of moisture on the skin, the resulting type of moisture-associated skin damage (MASD), and whether current skin care protocols are effective and adequate.

WoundSource Practice Accelerator's picture

by the WoundSource Editors

Denuded: The loss of epidermis, caused by prolonged moisture and friction.

Holly Hovan's picture
peroperative ostomy siting

By Holly Hovan MSN, APRN, CWOCN-AP

When marking a patient for a stoma, it is important to consider the practice based on evidence acquired by the wound, ostomy and continence (WOC) nurse during training and experience. Stoma siting procedures are based on evidence-based practices:

Paula Erwin-Toth's picture
questions in wound care

By Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

On April 26, 2017, I presented a webinar on the topic of Moisture-Associated Skin Damage (MASD) as part of WoundSource's webinar series on skin and wound related topics. MASD is a general term that encompasses a variety of skin injuries which involve excessive hydration of the skin. A strong knowledge of MASD can help clinicians in the assessment, prevention and treatment of the various types of moisture related skin injuries. During the informative presentation, I discussed such topics as:

Temple University School of Podiatric Medicine's picture
literature review

Temple University School of Podiatric Medicine Journal Review Club
Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.

Jeffrey M. Levine's picture
medical community discussion

By Jeffrey M. Levine MD, AGSF, CWS-P

As Co-Chair of the NPUAP Education Committee it is my pleasure to invite all clinicians to the NPUAP Biennial Conference in New Orleans from March 10 to 11, 2017. Featured topics will include best practices for staging and treatment, pressure injury recidivism, and pressure injury as a quality measure. In addition to these timely topics, NPUAP will host a full day featuring national experts who will discuss terminal ulceration, skin failure, and unavoidable pressure injury. Attendees are invited to submit cases that illustrate these lesions, and a select number of submissions will be presented for discussion with the group.

Martin Vera's picture
anatomy of the skin, the body's largest organ

By Martin D. Vera, LVN, CWS

On our last encounter we discussed wound bed preparation and the TIME framework. What I wish to accomplish with this post is to make it easier to understand the skin, the changes it undergoes as we age, and pave the way for the phases of wound healing—all of which are essential in becoming a better clinician.

Cheryl Carver's picture
fungi candida albicans 3D

By Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

It doesn't matter where exactly I am educating, I see it everywhere: the vicious cycle of chronic intertrigo and/or candida infections (candidiasis) of the skin in the long-term care arena. Skin and soft tissue infections are the third most common infection in long-term care.