Skin Care

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
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
repositioning for pressure injury prevention

By the WoundSource Editors

Pressure ulcers/injuries are extremely prevalent, particularly in long-term and other care facilities, and primarily affect older adults, those with cognitive impairment, mobility issues or individuals who are bedfast. Understanding the best ways to prevent skin damage before it develops into a significant injury is critical to improving patient outcomes and reducing costs.1 This brief guide will introduce nurses and other health care professionals to pressure injury prevention best practices to reduce the risk of patients developing these preventable wounds.

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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:

Holly Hovan's picture
wound care education

By Holly Hovan MSN, APRN, ACNS-BC, CWON-AP

As a wound, ostomy, and continence nurse in long-term care, education is a huge part of my role working in our Community Living Center (CLC), Hospice, and Transitional Care Unit (TCU). Unit specific, evidence-based training and continued follow-up are integral to the success of our pressure injury prevention program. The unit-based skin care nurses (UBSCNs) are at the frontline of prevention, along with all nursing staff, especially nursing assistants (NAs).

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Industry News's picture

By the WoundSource Editors

Expansion of Sensi-Care® portfolio in $500m market for skin care wipes, providing customers with advanced, evidence-based solutions to cleanse, moisturize and protect patients' skin.

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