Absorbent products and their impact on skin health.Effective treatment and/or management of incontinence is essential because incontinence can affect a nursing home resident's physical and emotional health in a variety of ways. Residents with incontinence often have other risk factors associated with the condition. One of these, unfortunately, is the increased danger of pressure-sore development as a result of reduced mobility and skin wetness.
Pressure sores can be a significant health problem for elderly residents. Statistics show that a typical pressure sore takes weeks to heal and can cost as much as $30,000 for hospital treatment. For the elderly, these sores can open the door to life-threatening infections.
Clearly, it is more efficient to avoid pressure sores than it is to treat them. To minimize the incidence of pressure sores, especially in treating men and women with incontinence, it is important to limit or reduce moisture contact with the skin by keeping residents as active as possible and by providing proper incontinence management. Caregivers should also:
* monitor skin conditions closely;
* reposition immobile residents frequently;
* lift residents to avoid skin friction skin friction
See under drag. ;
* use protective padding for body pressure points;
* provide thorough perineal perineal /peri·ne·al/ (-ne´al) pertaining to the perineum.
The diamond-shaped region of the body between the pubic arch and the anus. care;
* keep skin clean and dry; and
* encourage proper nutrition proper nutrition,
n in Tibetan medicine, a therapeutic concept that begins with a digestive formulation because it is believed that a medical condition is primarily the result of a nutritional dysfunction or disturbance in the process of delivering nutrients. .
Effective absorbent absorbent /ab·sor·bent/ (-sor´bent)
1. able to take in, or suck up and incorporate.
2. a tissue structure involved in absorption.
3. a substance that absorbs or promotes absorption. products, used in conjunction with the above care procedures, can help alleviate the problems associated with pressure sores.
The U.S. Department of Health and Human Services Noun 1. Department of Health and Human Services - the United States federal department that administers all federal programs dealing with health and welfare; created in 1979
Health and Human Services, HHS (HHS HHS Department of Health and Human Services. ), in a publication titled Pressure Ulcers in Adults: Prediction and Prevention, says, "Minimize skin exposure to moisture due to incontinence, perspiration or wound drainage to help prevent skin damage...Underpads or briefs can be used that are made of materials that absorb moisture and present a quick-drying surface to the skin."
RECOMMENDING INCONTINENCE-CARE PRODUCTS
Because moisture control is so critical in preventing and treating pressure sores, it is important to use the most effective incontinence products available.
A statistical analysis of federal government data shows that nursing homes that used Attends incontinence care products as part of their overall program of incontinence care reported a significantly lower incidence of pressure sores.
Procter & Gamble, maker of Attends incontinence care products (briefs, pads, undergarments and washcloths), conducted the analysis, using data from 1990-91 Health Care Financing Administration Health Care Financing Administration,
n.pr department in the U.S. agency of Health and Human Services responsible for the oversight of the Medicaid and Medicare benefit programs, including guidelines, payment, and coverage policies. (HCFA HCFA
Health Care Financing Administration
n.pr See Health Care Financing Administration. ) nursing home licensure surveys of 15,895 nursing homes. HCFA is a division of HHS.
The analysis indicated that pressure-sore incidence was greatest at facilities where cloth incontinence products were used. Nursing homes that used disposable products (all brands then available) reported a 16% lower incidence of pressure sores than those using cloth products. Facilities using Attends reported the lowest incidence of pressure sores, 24% fewer than those using cloth.
While Attends products alone do not prevent the occurrence of pressure sores, they do effectively limit moisture (urine) contact with the skin, thus minimizing a key contribution to pressure-sore development. Using such products can be an important part of developing an effective discharge plan for residents with incontinence.
An Irish girl.
[Irish Gaelic cailín, diminutive of caile, girl, from Old Irish. Nakamura, RN, CFNP CFNP Certified Family Nurse Practitioner
CFNP Community Food and Nutrition Program
CFNP Center for Food and Nutrition Policy , is Manager of Professional Education, Procter & Gamble Attends.