2005 Symposium on Advanced Wound Care | |
| 26 |
Clinical Research
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Incontinence dermatitis in nursing home residents Donna Z. Bliss, PhD, RN, FAAN, Kay Savik, MS, University of Minnesota School of Nursing, Minneapolis, MN; Cindy Zehrer, RN, MS, Deb Thayer, RN, MS, Li Ding, MS, Graham Smith, MS, 3M Health Care, St. Paul, MN The purpose of this analysis was to describe skin damage related to incontinence in nursing home (NH) residents since information about this problem is sparse. Perineal skin damage was assessed for 6wks. as part of a health-economics study in 16 U.S. NHs, randomly selected, examining four regimens for preventing incontinence dermatitis (ID). Residents who developed skin damage were followed for 2wks. Since the incidence of ID did not differ among the regimens (P=.07), all residents were combined for analysis. Residents (n=1,918) were screened for eligibility; 981 residents qualified (incontinent and free of perineal skin damage); 10% were disqualified because of existing skin damage. Skin damage occurred in 4.6% of residents and was related to incontinence (73%) pressure (31%), trauma (16%) and other (22%). Of those with ID, 76% were female, 88% were #89 yrs., 85% were Caucasian. The majority (48%) had double incontinence. ID severity was mild in 49%, moderate in 39%, and severe in 12% of cases. Most residents with ID (45%) had skin damage in perianal or buttocks areas. ID persisted in 40% of cases for $2wks. The majority of perineal skin damage in incontinent NH residents was attributed to ID, which persisted for $2wks in many residents. |
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