Continence

Jean Heer RN BS CWOCN DAPWCA

Objectives:

• Anatomy of the skin• Effects of incontinence on skin• Complications of incontinence• Prevention measures for incontinence

management• Discuss reasons for those measures

Anatomy of the skin

• 3 main layers

Take care of the skin

• Healthy skin normal PH between 4.3 and 5.9• Microorganisms on the skin can effect the PH • Additionally, prolonged contact with fluid, can

increase the permeability of the skin • Fecal enzymes damage the epidermis and be

very caustic to the skin• Briefs and pad help retain moisture and heat

Does this look familiar?

How many pads were on this pt?

Do we really need a brief?

Did we need a brief and pads for him?

“JUST IN CASE” OF WHAT?

Remember:

• ONLY use ONE air flow pad• Greatly decreases flow of air causing

diminished offloading of bed• Be the patients advocate- don’t use the pads

and briefs unless the patient REALLY needs it