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reducing moisture leisons secondary to incontinence Hot

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Area Classification

Acute / Hospital Care

Briefly describe what it is

Moisture lesions are a preventable problem primarily occuring secondary to incontinence which leads to irritant dermatitis, maceration and excoriation.
Good skin care and incontinence management can prevent this painful problem.
Avoiding compromised skin reduces the risk of pressure ulcers and/or subsequent infection.
Better recognition of moisture lesions as opposed to pressure ulcers enables correct treatment.
Practice development piloted in the isolation unit (new unit – unable to audit pre-change) then on 3 medical wards (population 87 patients).
Absence of dedicated continence advisor required collaborative approach with supplier to maximise support available.

Were there any key things that you had to do to make it happen?

Identify a range of products for skin care/protection, devise a selection protocol for their use and provide education.
Improve access to a better range of incontinence management products and provide education on their selection and correct use.
Overcome resistance to change amongst doubtful or disbelieving staff.

Describe (and provide evidence) of the impact on quality of care

Audit numbers of moisture lesions pre and post change.
Reduction in moisture lesions of 80% identified on audit pre and post change
Typically 5% of patients pre-change reduced to 1% or less post-change.

Describe (and provide evidence) of the impact on patient (or staff) experience

Reduction in lesions reduces pain and suffering for patients.
Less analgesia required.
Length of stay reduced by avoiding complication.
Reduction in lesions means staff don’t have to spend time treating them.

Describe (and provide evidence) of the impact on reducing cost

Product cost on the 3 wards: before change (£5023/qtr) and after (£4830/qtr)
Treatment not required in hospital can’t be accurately costed due to variation in length of stay.
If a patient were discharged with a moisture lesion present this would add to treatment cost in primary care (value unknown).

Keywords / Tags

incontinence lesion reduction

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