Incontinence-associated dermatitis in critically ill adults: Time to development, severity, and risk factors

Journal of Wound, Ostomy and Continence Nursing

Volumn 38, Issue 4, 2011, Pages 433-445

  Bliss, Donna Zimmaro ^a   Savik, Kay ^a   Thorson, Melissa A L ^a,b   Ehman, Susan J ^a,c   Lebak, Kelly ^d,e   Beilman, Gregory ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b NORTH MEMORIAL MEDICAL CENTER   (United States)

^c REGIONS HOSPITAL   (United States)

^d HENNEPIN COUNTY MEDICAL CENTER   (United States)

^e METROHEALTH MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; COMPARATIVE STUDY; CRITICAL ILLNESS; FECES INCONTINENCE; FEMALE; FOLLOW UP; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; IRRITANT DERMATITIS; MALE; METHODOLOGY; MIDDLE AGED; NURSING; NURSING DIAGNOSIS; PROSPECTIVE STUDY; RISK ASSESSMENT; SKIN CARE; TIME; TREATMENT OUTCOME;

ADULT; AGED; COHORT STUDIES; CRITICAL ILLNESS; DERMATITIS, IRRITANT; FECAL INCONTINENCE; FEMALE; FOLLOW-UP STUDIES; HUMANS; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; NURSING DIAGNOSIS; PROSPECTIVE STUDIES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; SKIN CARE; TIME FACTORS; TREATMENT OUTCOME;

EID: 79960763619     PISSN: 10715754     EISSN: None     Source Type: Journal    
DOI: 10.1097/WON.0b013e318220b703     Document Type: Article

References (40)

1. Bliss DZ, Savik K, Harms S, Fan Q, Wyman JF. Prevalence and correlates of perineal dermatitis in nursing home residents. Nurs Res. 2006;55(4):243-251. (Pubitemid 44503655)
2. Brown DS. Perineal dermatitis risk factors: clinical validation of a conceptual framework. Ostomy Wound Manage. 1995;41(10): 46-48, 50, 52-53.
3. Brown DS, Sears M. Perineal dermatitis: a conceptual framework. Ostomy Wound Manage. 1993;39(7):20-22, 24-25.
4. Bliss DZ, Zehrer C, Savik K, Thayer D, Smith G. Incontinenceassociated skin damage in nursing home residents: a secondary analysis of a prospective, multicenter study. Ostomy Wound Manage. 2006;52(12):46-55. http://www.cinahl. com/cgi-bin/refsvc?jid=520&accno=2009485064.
5. Bennett MA. Report of the task force on the implications for darkly pigmented intact skin in the prediction and prevention of pressure ulcers. Adv Wound Care. 1995;8(6):34-35.
6. Gray M, Bliss DZ, Doughty DB, Ermer-Seltun J, Kennedy-Evans KL, Palmer MH. Incontinence-associated dermatitis: a consensus. J Wound Ostomy Continence Nurs. 2007;34(1):45-54.
7. Hunter S, Anderson J, Hanson D, Thompson P, Langemo D, Klug MG. Clinical trial of a prevention and treatment protocol for skin breakdown in two nursing homes. J Wound Ostomy Continence Nurs. 2003;30(5):250-258. (Pubitemid 37249498)
8. Junkin J, Selekof JL. Prevalence of incontinence and associated skin injury in the acute care inpatient. J Wound Ostomy Continence Nurs. 2007;34(3):260-269.
9. Driver DS. Perineal dermatitis in critical care patients. Crit Care Nurse. 2007;27(4):42-46; quiz 47.
10. Bale S, Tebble N, Jones V, Price P. The benefits of implementing a new skin care protocol in nursing homes. J Tissue Viability. 2004;14(2):44-50.
11. Beeckman D, Schoonhoven L, Verhaeghe S, Heyneman A, Defloor T. Prevention and treatment of incontinence-associated dermatitis: literature review. J Adv Nurs. 2009;65(6):1141-1154.
12. Brown DS, Small S, Jones D. Standardizing skin care across settings. Ostomy Wound Manage. 1995;41(10):40-43.
13. Pieper B, Mott M. Nurses' knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care. 1995;8(3):34, 38, 40 passim.
14. Pieper B, Mattern JC. Critical care nurses' knowledge of pressure ulcer prevention, staging and description. Ostomy Wound Manage. 1997;43(2):22-26, 28, 30-31.
15. Defloor T, Schoonhoven L. Inter-rater reliability of the EPUAP pressure ulcer classification system using photographs. J Clin Nurs. 2004;13(8):952-959. (Pubitemid 39551496)
16. Lyder CH, Clemes-Lowrance C, Davis A, Sullivan L, Zucker A. Structured skin care regimen to prevent perineal dermatitis in the elderly. J ET Nurs. 1992;19(1):12-16.
17. Faria DT, Shwayder T, Krull EA. Perineal skin injury: extrinsic environmental risk factors. Ostomy Wound Manage. 1996;42(7): 28-30, 32-34, 36-37.
18. Buckingham KW, Berg RW. Etiologic factors in diaper dermatitis: the role of feces. Pediatr Dermatol. 1986;3(2):107-112. (Pubitemid 16129246)
19. Yosipovitch G, Hu J. The importance of skin pH. Skin Aging. 2003; 11(3):88-93.
20. Gray M, Weir D. Prevention and treatment of moisture-associated skin damage (maceration) in the periwound skin. J Wound Ostomy Continence Nurs. 2007;34(2):153-157.
21. Brown DS. Perineal dermatitis: can we measure it? Ostomy Wound Manage. 1993;39(7):28-30, 31.
22. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985; 13(10):818-829. (Pubitemid 15250137)
23. Prasad K. The Glasgow Coma Scale: a critical appraisal of its clinimetric properties. J Clin Epidemiol. 1996;49(7):755-763. (Pubitemid 26280726)
24. Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden Scale for predicting pressure sore risk. Nurs Res. 1987;36(4):205-210. (Pubitemid 17100035)
25. Bliss DZ, Savik K, Jung H, Jensen L, LeMoine M, Lowry A. Comparison of subjective classification of stool consistency and stool water content. J Wound Ostomy Continence Nurs. 1999;26(3): 137-141.
26. Beauchamp K, Baker S, McDaniel C, et al. Reliability of nurses' neurological assessments in the cardiothoracic surgical intensive care unit. Am J Crit Care. 2001;10(5):298-305. (Pubitemid 33605318)
27. Horn SD, Horn RA. Reliability and validity of the Severity of Illness Index. Med Care. 1986;24(2):159-178. (Pubitemid 16128187)
28. Bickert AT, Gallagher C, Reiner A, Hager WJ, Stecker MM. Nursing neurologic assessments after cardiac operations. Ann Thorac Surg. 2008;85(2):554-560.
29. Bliss DZ, Larson SJ, Burr JK, Savik K. Reliability of a stool consistency classification system. J Wound Ostomy Continence Nurs. 2001;28(6):305-313. (Pubitemid 33602158)
30. Bliss DZ, Dhamani KA, Savik K, Kirk K. Tool to classify stool consistency: content validity and use by persons of diverse cultures. Nurs Health Sci. 2003;5(2):115-121. (Pubitemid 36675572)
31. Morris JN, Fries BE, Mehr DR, et al. MDS Cognitive Performance Scale. J Gerontol. 1994;49(4):M174-M182. (Pubitemid 24215003)
32. Savik K, Fan Q, Bliss D, Harms S. Preparing a large data set for analysis: using the minimum data set to study perineal dermatitis. J Adv Nurs. 2005;52(4):399-409. (Pubitemid 41626842)
33. Fleiss JL. Statistical Methods for Rates and Proportions. 2nd ed. New York: John Wiley & Sons; 1981.
34. APACHE II. http://www.sfar.org/scores2/apache22.html. Accessed June 20, 2009.
35. Thorson MA, Bliss DZ, Savik K. Re-examination of risk factors for non-Clostridium difficile-associated diarrhoea in hospitalized patients. J Adv Nurs. 2008;62(3):354-364.
36. Bliss DZ, Zehrer C, Savik K, Smith G, Hedblom E. An economic evaluation of four skin damage prevention regimens in nursing home residents with incontinence: economics of skin damage prevention. J Wound Ostomy Continence Nurs. 2007;34(2): 143-152.
37. Wound, Ostomy and Continence Nurses Society. Guidelines for Prevention and Management of Pressure Ulcers. WOCN Clinical practice guideline series. Philadelphia, PA: Wound, Ostomy and Continence Nurses Society; 2003.
38. Fiers SA. Breaking the cycle: the etiology of incontinence dermatitis and evaluating and using skin care products. Ostomy Wound Manage. 1996;42(3):32-34, 36, 38-40, passim.
39. Beitz JM. Fecal incontinence in acutely and critically ill patients: options in management. Ostomy Wound Manage. 2006; 52(12):56-58, 60, 62-66.
40. Ross V. The fecal containment device: one answer to a dreaded procedure. Ostomy Wound Manage. 1993;39(7):42-44, 46.