The protection of the skin against moisture-related breakdown is a significant aspect of comprehensive skin care. There are fundamental recommendations that could be considered to manage and prevent damage in the skin folds, perineum as well as parts close to a wound. It is crucial that the skin breakdown is prevented because of the role of the skin to safeguard the body against mechanical shock, toxic irritants, communicable pathogens or extreme fluids. The article aimed at seeking intervention to moisture-associated skin damage (MASD), which stands for inflammation and corrosion of the epidermis that predisposes the body to numerous sources of moisture and possible irritants.
Woo, Beeckman, and Chakravarthy (2017), adopted a scoping review as the methodology, which enabled them to map, review and analyze numerous pieces of evidence. They established that critically ill patients from time to time catch incontinence-associated dermatitis (IAD), a situation that happens when ammonia in urine or stool forms an alkaline surrounding that catalyzes the proteolytic activity of fecal enzymes on the skin. The enzymes including protease and lipase expose the skin so that irritants can get through it quickly as well as prompt inflammation of the body. The researchers also established other forms of moisture-associated skin damage as periwound skin damage, peristomal MASD, and intertriginous dermatitis.
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Regarding management of MASD, Woo, Beeckman, and Chakravarthy (2017) recommended a number of things. First, any susceptible skin was to be washed mildly using a cleanser with minimal rubbing. The appropriate wound dressing was to be considered using absorbent dressings for extremely affected wounds as well as matching dressing variations to exudate levels. Atraumatic tapes or adhesives with silicone are important for managing trauma. A periwound skin is to be protected by applying a silicone-based barrier to skins that are susceptible. Patients are supposed to treat skin infections and dermatitis by determining the triggers or causes and addressing them as they can lead to secondary infections. Lastly, people are to encourage the most favorable skin health on them as much as possible.
Reference
Woo, K. Y., Beeckman, D., & Chakravarthy, D. (2017). Management of moisture-associated skin damage: a scoping review. Advances in skin & wound care , 30 (11), 494. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5657465/
