skin breakdown due to moisture
TYPES OF MASD
A term used to describe skin conditions that are the result of exposure to moisture.
Defined as inflammation of the skin and erosion from prolonged exposure to moisture and its contents.
Common sources of moisture include urine and stool, perspiration, wound exudate, and effluent from an ostomy.
Gray, M., et al. (2011). Moisture-associated skin damage: overview and pathophysiology. Journal of Wound, Ostomy and Continence Nursing, 38(3), 233-241.
WHAT DO YOU SEE?
IS THIS SKIN BREAKDOWN DUE TO MOISTURE OR PRESSURE OR BOTH?
IF IT IS MASD/IAD/ID DO NOT STAGE BUT CLASSIFY AS A PARTIAL THICKNESS SKIN BREAKDOWN!
DIFFERENTIATING BETWEEN MASD AND A PRESSURE ULCER
MASD/IAD (INCONTINENCE ASSOCIATED DERMATITIS) OCCURS OVER THE BUTTOCKS AND PERINEAL AREA INCLUDING UPPER THIGHS AND SKIN FOLDS. WHERE MOISTURE CAN BE TRAPPED AND/OR MIGRATE OVER BONEY PROMINENCES SUCH AS THE COCCYX, INNER GLUTEAL CLEFT. AND SACRUM
STOOL IS HIGHLY IRRITATING AND WHEN MIXED WITH URINE CAN CREATE A "BURN-LIKE" APPEARANCE WHEN LEFT UNTREATED.
IAD/ID (INTREGENIOUS DERMATITIS) MAY HAVE A RED RASHY APPEARANCE WITH SATELITE LESIONS FOUND WITHIN SKIN FOLDS OR UNDER DRESSINGS. A PRESSURE ULCER/INJURY WILL HAVE A WELL DEFINED ROUND TO OVAL SHAPE AND NOT BE DIFFUSE IN PRESENTATION
MASD TREAMTENT IS TO CLEANSE SKIN WITH A MILD SOAP AND WATER, RINSE AND PAT DRY. THEN APPLY A ZINC, PETROLATUM, DIMETHICONE BASED SKIN BARRIER AFTER EVERY INCONTINENT EPISODE OVER SKIN SURFACE OR IF IT IS ID THEN APPLY AN ANTI-FUNGAL POWDER WITHIN THE SKIN FOLDS SEPARATING THE SKIN FOLDS WITH A WICKING TYPE DRESSING OR COTTON CLOTHS,
AVOID USE OF FOAM DRESSINGS OR NON-BREATHABLE INCONTIENT PRODUCTS THAT WILL TRAP STOOL AND URNIE