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reducing moisture leisons secondary to incontinence
reducing moisture leisons secondary to incontinence
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Details
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.
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.
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.
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.
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).
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
