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Skin Care Management in Clinically Challenging Populations

Speaker: Kimberly LeBlanc PhD, RN, NSWOC, WOCC (C), FCAN

Moisture-related skin damage poses a significant challenge to clinicians across the continuum of care. Development of moisture-related skin damage can lead to serious complications including infection and pressure injury.

This session will focus on strategies to maintain skin integrity and addressing skin care needs as they relate to moisture management in populations including bariatric patients, pediatrics, paraplegics, and older adults.



Optimizing the Health of Your Patient’s Skin

An evidence-based approach to a successful skin care regimen must be built on a thorough understanding of skin anatomy and physiology. Prevention of skin breakdown begins with appropriate procedures and products to keep the skin healthy, including moisture management in patients with incontinence.

This white paper provides an overview of skin structure and function, including the skin biome, and describes the essential elements of skin care. Risk factors and preventive strategies for moisture-associated skin damage (MASD) and incontinence-associated dermatitis (IAD) are also discussed.


Quick Facts – Skin Microbiome

When moisture is balanced and the skin microclimate is healthy, the skin can prevent infection, reduce inflammation, and protect from environmental aggressors. This fact sheet contains information on the structure and function of the skin, including moisture balance, as well as assessment and prevention of MASD and IAD. Wound care professionals caring for patients at risk of MASD will find this fact sheet especially helpful.


What Is the Skin Microbiome?

Human skin is home to many types of bacteria, fungi, and viruses that compose the skin microbiota or microbiome. As with microorganisms in the gut, these organisms have an important role in protecting from pathogens and breaking down natural products. The sheer quantity of life found…

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Managing Your Patient’s Microclimate

Vulnerable skin within the skin microclimate is caused by a multitude of factors that are often aggravated by one another. Urine and feces, for example, have a negative impact on the skin as a result of the microorganisms and enzymes…

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Preventing Moisture-Associated Skin Damage

The outer layer of the skin, the epidermis, is the body’s physical barrier to the environment. This barrier is compromised when moisture or trauma damages the epidermis. Frequently, moisture…

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The Effects of Incontinence on Your Patients’ Skin

Urinary incontinence is a relatively common condition marked by loss of control of the bladder. In severe cases, it can have a detrimental impact on the quality of life of patients with this condition. Because of….

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How Much Do You Know About Skin Management?

Take our 10-question quiz to find out.

Terms to Know: Skin Health

Absorbent briefs: Briefs used to absorb urine and stool and to help prevent moisture-associated skin damage in patients with incontinence issues. Briefs with high breathability and wicking help to maintain the skin microclimate.

Barrier products: Creams, sprays, wipes, or other products used to seal the skin and protect it from breakdown caused by moisture or incontinence.

Cyanoacrylates: A skin sealant that bonds to the skin surface and integrates with the epidermis. Cyanoacrylates are strong and resistant to washing off.

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