Moisture-Associated Skin Damage

Cheryl Carver's picture
Case Scenarios: Wound Documentation

By Cheryl Carver, LPN, WCC, CWCA, CWCP, DAPWCA, FACCWS, CLTC – Wound Educator

Auditing documentation has always been part of my wound nurse role in some way or another. My first experience with auditing documentation with a fine-tooth comb was while working in the hospital wound center setting as a hyperbaric oxygen technician. Back then, hyperbaric oxygen therapy was more difficult to get reimbursed, and there were a lot of Medicare appeals. I would search through stacks of documentation to find validation for the diagnosis specific to the hyperbaric oxygen therapy indication. I quickly found out how ONE word determined reimbursement, and we are not talking pennies. The documentation is either there or it isn’t. Wound care documentation also requires the same impeccable documentation. Reimbursement is driven by Centers for Medicare & Medicaid Services (CMS) guidelines. We must follow the rules, or we do not get paid.

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Holly Hovan's picture
Causes of Incontinence

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

With World Continence Week upon us, it is an appropriate time to discuss some types and causes along with treatment of urinary incontinence. Incontinence can have a significant impact on patient quality-of-life and skin health, subjects that will also be discussed.

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Susan Cleveland's picture
Moisture-Associated Skin Damage Prevention

by Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

Part 2 in a two-part series looking at the basics of preventing and managing moisture-associated skin damage in the long-term care setting. For Part 1, click here.

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Susan Cleveland's picture
Preventing MASD by Moving

by Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

Part 1 in a two-part series looking at the basics of preventing and managing moisture-associated skin damage in the long-term care setting.

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Fabiola Jimenez's picture
Nurses communicating about patient

by Fabiola Jimenez, RN, ACNS-BC, CWOCN

To tell you the truth, I was not exactly sure what I was getting into when I decided to go to Wound Ostomy and Continence (WOC) nursing school. My reference was my experience during my Clinical Nurse Specialist (CNS) clinical rotations where I worked with a colorectal surgeon and the Nurse Practitioner (NP). The patients we saw had everything to do with a WOC’s expected body of knowledge.

WoundSource Practice Accelerator's picture
moisture-associated skin damage

by the WoundSource Editors

It has long been known in clinical practice that long-term exposure of the skin to moisture is harmful and can lead to extensive skin breakdown. The term moisture-associated skin damage was coined as an umbrella term to describe the spectrum of skin damage that can occur over time and under various circumstances. To have a moisture-associated skin condition, there must be moisture that comes in contact with that skin.

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.

Excoriation: Linear erosion of skin tissue resulting from mechanical means.

Maceration: The softening and breaking down of skin resulting from prolonged exposure to moisture.