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INCONTINENT
PATIENTS
NURSING
DIAGNOSES: Impairment of skin integrity related to
incontinence, potential or actual.
OUTCOME
STANDARDS: Prevent
skin damage caused by continued
exposure to moisture and irritants.
Patient attains/maintains intact
skin.
PROCESS
STANDARDS:
- Assessment
- Present skin condition
- Incontinence pattern (urine, fecal, both)
- Incontinence management protocol
- Allergies
- Intervention
- Gently cleanse skin with body wash (i.e. Lantiseptic® All
Body Wash) after each incontinent episode (NOTE: the use of
harsh soaps can alter skin pH, permitting bacterial growth
or cause dryness leading to cracking).
- Apply skin protectant
(i.e. Lantiseptic® Skin
Protectant) to perineal/
peri-anal area after each
cleansing. Emollients are
designed to condition the
skin and provide a barrier
against the irritants in
cases of incontinence.
- Assure adequate fluid
intake. (NOTE: withholding
fluids is not appropriate
management for incontinence
and may result in urinary
tract infection).
- If impairment of skin
occurs, continue preventative
measures to promote healing
and provide protection.
- Check incontinent patient's
skin every 2hrs for soiling;
reapply skin protectant
as needed. (NOTE: If maculopapular
rash consistent with Candidiasis
occurs, antifungal preparations
are indicated.)
- Gently cleanse skin with body wash (i.e. Lantiseptic® All
Body Wash) after each incontinent episode (NOTE: the use of
harsh soaps can alter skin pH, permitting bacterial growth
or cause dryness leading to cracking).
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Download and print a copy of the Lantiseptic Care Plan brochure for either the Therapeutic Cream or Skin Protectant. |
