Incontinence Associated Dermatitis (IAD)/ Moisture Associated Skin Damage (MASD)

Prevention

  • Assess and treat reversible causes of incontinence
  • Optimise continence management - consider referral to the continence team
  • Regular skin assessment - including under skin folds
  • Structured skin care regimen - PH balanced cleanser and barrier cream

Mild - Moderate IAD/MASD

In addition to preventative measures....

  • Consider insertion of IDC or use of faecal management system
  • Assess and treat fungal skin infection if present 
  • Utilise barrier cleansing wipes - discontinue other barrier products
  • High risk pressure ulcer prevention care plan

Severe IAD/MASD

In addition to Mild - Moderate IAD/MASD management...

  • Wound assessment and implement appropriate wound management care plan
  • Refer to Continence Team
  • Refer to Tissue Viability Team