1. Continence Jean Heer RN BS CWOCN DAPWCA

2. Objectives: Anatomy of the skin Effects of incontinence on skin Complications of incontinence Prevention measures for incontinence management Discuss reasons for those measures

3. Anatomy of the skin 3 main layers

4. Take care of the skin Healthy skin normal PH between 4.3 and 5.9 Microorganisms on the skin can effect the PH Additionally, prolonged contact with fluid, can increase the permeability of the skin Fecal enzymes damage the epidermis and be very caustic to the skin Briefs and pad help retain moisture and heat

5. Does this look familiar?

6. How many pads were on this pt?

7. Do we really need a brief?

8. Did we need a brief and pads for him?

9. “JUST IN CASE” OF WHAT?

10. Remember: ONLY use ONE air flow pad Greatly decreases flow of air causing diminished offloading of bed Be the patients advocate- don’t use the pads and briefs unless the patient REALLY needs it