Moisture-associated skin damage: aetiology, prevention and treatment

British Journal of Nursing : BJN
David Voegeli

Abstract

The concept of excessive moisture causing damage to the skin is not a new one, and provides a rationale for many fundamental nursing interventions. Although traditionally thought of as a specific problem of continence care, it is a common problem encountered in many different patient groups. As a consequence the umbrella term moisture-associated skin damage (MASD) has been introduced to describe the spectrum of damage that occurs in response to the prolonged exposure of a patient's skin to perspiration, urine, faeces or wound exudate. It is generally accepted that MASD consists of four main separate conditions, each having slightly different aetiologies, all of which will be explored in this paper. Careful assessment can help distinguish between the four and enable appropriate prevention and treatment interventions to be implemented. Whatever causes the excessive moisture, effective interventions should consist of the adoption of a structured skin care regime to cleanse and protect, methods to keep the skin dry, controlling the source of the excessive moisture and treating any secondary infection.

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Citations

Apr 29, 2015·Current Problems in Surgery·Scott R SteeleNina S Jacobson
Dec 31, 2014·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Christine Thies Berke
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Jun 28, 2016·British Journal of Nursing : BJN·Simon Palfreyman
Mar 15, 2016·British Journal of Nursing : BJN·David Voegeli
May 16, 2015·British Journal of Nursing : BJN·Sharon Holroyd
Sep 27, 2016·British Journal of Nursing : BJN·Anna Boyles, Sharon Hunt
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Mar 26, 2019·British Journal of Nursing : BJN·Sinéad Kelly O'Flynn
Mar 30, 2019·British Journal of Nursing : BJN·Sue Woodward
Mar 7, 2020·Journal of Wound Care·Sian FumarolaDavid Voegeli
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Mar 5, 2021·Advances in Skin & Wound Care·Mary QuigleyDara Kavanagh
Aug 12, 2021·British Journal of Nursing : BJN·David Voegeli, Sarah Hillery

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