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Moisture Damage in Wound Care

MrD.Smith MSc Biomechanic

Considering Moisture Damage in Wound Care: Insights from Case Studies*


Moisture-associated skin damage (MASD) is an increasingly recognised concern in wound care, emphasising the importance of an effective management plan to address this issue. Through several case studies of moisture damage in wound care, we can gain valuable insights on utilising suitable barrier products to mitigate and resolve skin damage associated with moisture exposure.


In one notable case, a young female patient with type 2 diabetes and obesity faced challenges with incontinence-associated dermatitis (IAD) affecting the buttocks due to faecal incontinence. Initially, treatments with antiseptic healing cream and a non-rinse fragrance-free barrier cream offered some protection but caused itchiness and irritation. Transitioning to medi-dermatitis total barrier cream resulted in significant improvement; within days, the patient's skin condition ameliorated, eliminating itchiness and dryness. The patient's discomfort and sleeplessness, previously induced by skin irritation, were alleviated as the skin became soft and intact after two weeks of treatment.


Another case of moisture damage in wound care involved a patient admitted for acute confusion and a urinary tract infection, presenting with a history of scarring due to IAD. Applying the medi-dermatitis barrier film, designed for longer-term moisture protection, especially on wet and open skin, yielded improvements within three days. Bleeding and open areas healed, showcasing the product's effectiveness in managing skin with moisture damage.


A different scenario saw a patient brought to the hospital from a care home with severe IAD at the natal cleft, alongside urinary incontinence and dehydration. The exposure to moisture resulted in darkened and hyperpigmented skin. This case highlights a common issue in individuals with darker skin tones, where post-inflammatory hyperpigmentation (PIH) becomes evident during healing. Here, medi-dermatitis products offered significant assistance by providing a barrier that enabled better recovery outcomes.


Lastly, we reviewed a case involving a 64-year-old male inpatient who developed IAD. Utilising the medi-dermapro ointment and cleanser led to rapid improvement within 36 hours, evidenced by reduced moisture damage and more comfortable skin management. After a week of this regimen, the patient transitioned to using medi-derma total barrier film for continued protection, demonstrating a step-up, step-down approach to suit varying treatment needs.


These case studies of moisture damage in wound care underscore the importance of choosing effective barrier products tailored to individual cases of MASD. Clinicians are encouraged to consider these insights when formulating treatment strategies, ensuring patient comfort while promoting healing and the integrity of the skin.


Moisture Damage in Wound Care

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