Incontinence-Associated Dermatitis in Older Intensive Care Patients: A Review and Case Report

Abstract

Guojin Qiao,1 Samoraphop Banharak2 1Nursing Department, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People’s Republic of China; 2Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, ThailandCorrespondence: Samoraphop Banharak, Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand, Email [email protected]: Incontinence-Associated Dermatitis is a serious skin injury causing suffering, secondary infection, and inducing almost six times more pressure sore than normal skin patients. This moisture and chemical skin irritation is a concern, especially for intensive care unit nurses. This study aimed to review the effective nursing strategy for preventing and caring for incontinence-associated dermatitis in older intensive care unit patients and pilot its feasibility.Methods: The five databases, including PubMed, Google Scholar, CINAHL Complete, WanFang, and CNKI, were searched, and articles were screened and extracted. The strategies and details of prevention and care for incontinence-associated dermatitis were reviewed and summarized. Finally, selected strategies were applied to five intensive care unit patients with various health conditions and levels of Incontinence-Associated Dermatitis severity.Results: The literature review found that there is a standardized nursing process for incontinence-associated dermatitis. The prevention and care strategies for incontinence-associated dermatitis include assessment, risk factor management, skin cleaning, skin protection, and health education and training. In actual clinical application, personalized nursing measures can positively impact patients. Five case studies from our pilot confirmed this finding.Conclusion: Personalized nursing measures can positively impact patients in actual clinical applications. Our five case studies implementing the strategies from the review confirmed this finding. In clinical work, it is recommended to develop personalized nursing programs for specific risk factors of older intensive care unit patients.Protocol Registration: TCTR20230808004.Keywords: case report, intensive care unit, older patients, incontinence-associated dermatitis, nursing

Keywords

• case report
• intensive care unit
• older patients
• incontinence-associated dermatitis
• nursing