Prevention is the first line of defence against IAD. Our MoliCare® range helps to prevent skin irritations with products able to maintain the acid mantle of the skin through a skin-neutral pH balanced formula.
When skin is stressed by incontinence it can have a major impact on the quality of life of sufferers. It also increases the need for and cost of care. And when skin is irritated by incontinence, it is easier for bacteria to penetrate, triggering secondary infections. It is also believed to increase the risk of developing bed sores1,2,3.
MoliCare® skin products can help to prevent skin irritations.
"IAD is one of the most frequent complications of incontinence"
For many people living with incontinence, the burning sensation of Incontinence Associated Dermatitis (IAD) is painfully familiar. Up to 80% of nursing home patients will be affected by incontinence, and around half of these may suffer from IAD4.
Excessive moisture is a leading cause of IAD. Inflammation of the skin develops from repeated exposure to urine or faeces and frequent washing. What starts off as a small rash can quickly develop into irritation, inflammation and infection3.
Other common causes of IAD include physical and chemical irritants. Mature skin is especially vulnerable3.
The Skin Barrier gets weaker5 with age and the regeneration processes slow down.
Excessive moisture6 from sweat and urine softens the outermost layer of the skin (the stratum corneum).
Biological irritation: when skin is irritated by incontinence, the natural pH value of the skin protection barrier increases which makes it easier for bacteria to penetrate the skin, causing secondary infections.
Chemical irritation: washing frequently with soap and water erodes the skin’s natural protective barrier, known as the acid mantle.
Physical irritation: friction during washing, drying and movement weakens the cell structure of the skin.
✓ Clean effectively and gently without water and soap.
✓ Help to reduce skin irritation thanks to the pH skin neutral formula – according to a research 64% of residents who suffered from IAD or severe skin issues had no skin irritations after 18 days of using CLEAN No Rinse products9.
✓ Provide quick cleaning, saving time for the carer – reduce the time spent on each cleansing by up to 4 min2 compared to the traditional method using soap and water10.
✓ Cleansing with No Rinse products helps to save costs such as hygiene and laundry products - no need to use towels or wash lotion. Only few tissues are needed11.
Prolonged exposure to urine or faeces can lead to painful skin break down13. Slower to regenerate, weaker, mature skin is particularly vulnerable4.
But MoliCare® Skin Barrier Cream, MoliCare® Skin Protection Foam and MoliCare® Zinc oxide cream contain Nutriskin Protection Complex which enhances the skin's barrier function.
The Nutriskin Protection Complex contains natural essential fatty acids, creatine, amino acids and almond oil to strengthen the skin's own natural barrier function.
And to calm stressed skin, MoliCare® Skin Zinc Oxide Cream not only enhances the skin’s own barrier function. Thanks to its 20% zinc oxide formulation, it provides an “anti-inflammatory effect".
✓ Offer advanced skin protection without compromising the absorbent capabilities of MoliCare® absorption products14.
✓ Replenish the skin's moisturising substances on the skin's surface.
✓ Support the regeneration of the acid protection mantle.
✓ With Nutriskin Protection Complex to enhance the skin’s own natural barrier function15.
✓ Offer intensive care for compromised skin
✓ Contain nourishing emulsions17
✓ Provide the skin with moisture and lipids
Sources:
1. Beeckman D. et al; A systematic review and meta-analysis of incontinence-associated dermatitis, incontinence, and moisture as risk factors for pressure ulcer development. Research in Nursing & Health, 2014.
2. Bliss D.Z. Zehrer C, Savik K., Smith G., Hedblom E; An economic evaluation of four skin damage prevention regimes in nursing home residents with incontinence; in: Wound, Ostomy and Continence Nurses Society March/April 2007.
3. Jan Kottner, How does IAD develop? May 2014
4. Halfens R. 3. G, Meesterbererds E,, van Nie-Visser N. C., Lohrmann C., Schênher S., Meljers J. M.M., Hahn $., Vangelooven C. & Jos M.G.A. Schols International prevalence measurement of care problems: results, Journal of Advanced Nursing 698), May 2013.
5. Junkin J, Selekof JL. Beyond “diaper rash”: Incontinence-associated dermatitis: does it have you seeing red? Nursing 2008; 38(11 Suppl):56hn1-10; quiz 56hn10-1.
6. Minematsu T et al. Aging enhances maceration-induced ultrastructural alteration of the epidermis and impairment of skin barrier function. J Dermatol Sci 2011; 62(3):160–8
7,8,9,10,11. F. Simonetti, M. Vighini. PH no rinse - Il wound care basato sulle prove di efficacia 7.1 September 2016. Published in italian journal of WOCN. The study was conducted in Conero Nursing Home in Italy.
12. Gray M., Beeckman D,, Bliss D. Z., Fader M., Logan $., Junkin J., Selekof J, Doughty D., Kurz P; Incontinence-associated dermatitis: a comprehensive review and update; J Wound Ostomy Continence Nurs. 2012 Jan—Feb, 3A(1): 61-74.
13. Bliss D. Z., Zehrer C., Savik K., Smith G., Hedblom E.; An economic evaluation of four skin damage prevention regimes in nursing home residents with incontinence; in: Wound, Ostomy and Continence Nurses Society, March/April 2007.
14. Only Barrier cream.
15. Except Protection Oil.
16. Beeckman D, Verhaeghe S, Defloor T, Schoonhoven L, Vanderwee K: a 3-in-1 Perineal Care Washcloth Impregnated With Dimethicone 3% Versus Water and pH Neutral Soap to Prevent and Treat Incontinence-Associated Dermatitis. A Randomized, Controlled Clinical Trial. December 2011. The Journal of Wound, Ostomy and Continence Nursing.
17. Only Body lotion and Hand cream
