Identifying Incontinence- Associated Dermatitis (IAD) Companion to the Best Practice Principles consensus document, Incontinence-Associated Dermatitis: Moving Prevention Forward1

What is IAD?Incontinence-Associated Dermatitis (IAD) is a painful, problematic skin injury that results from exposure to urine or feces.

What will you see when you assess?Changes in skin color• Light skin tones may have erythema

ranging in intensity from pink to red• Dark skin tones may appear paler, darker,

purple, dark red, or yellow

Changes in skin integrity• Warmer and firmer than skin without IAD• Also may see: • Moist, open weeping areas of skin • Lesions such as raised blisters

(vesicles) or small bumps (papules)

What will the patientor resident feel?Pain, burning, itching

1 Genitalia (labia/scrotum)2 Right groin fold (crease

between genitalia and thigh)3 Left groin fold (crease

between genitalia and thigh)4 Lower abdomen

suprapubic5 Right inner thigh6 Left inner thigh

7 Perianal skin8 Gluteal fold (crease

between buttocks)9 Left upper buttock10 Right upper buttock11 Left lower buttock12 Right lower buttock13 Left posterior thigh14 Right posterior thigh

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Where will you assess for potential skin damage?* Assess all areas — front and back!

Urinary incontinence likely to affect: folds of the labia in women, scrotum in men, groin folds, lower abdomen, front and inner thigh. Fecal incontinence likely to affect: perianal area, gluteal fold and upper and lower buttocks, back of the thighs.

Put best practice principles to work for your patients.Twenty international experts gathered to review knowledge gaps related to IAD and to advance best practice principles that address these gaps. Download their Best Practice Principles consensus document, Incontinence-Associated Dermatitis: Moving Prevention Forward, at 3M.com/IAD.

1. Beeckman D et al. Proceedings of the Global IAD Expert Panel. Incontinence-Associated Dermatitis: Moving Prevention Forward. Wounds International 2015.* Used with permission from Wounds International. © Wounds International 2015. All rights reserved. † NPUAP copyright & used with permission.

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Phone 1-800-228-3957 Web mmm.com/medical

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If your patient or resident is NOT incontinent, they CANNOT have IAD.

History Urinary and/or fecal incontinence Exposure to pressure/shear

Symptoms Pain, burning, itching, tingling Pain

Location

Affects perineum, perigenital area; buttocks; gluteal fold; medial and posterior aspects of upper thighs; lower back; may extend over bony prominence

Usually over a bony prominence or associated with location of a medical device

Shape/edges Affected area is diffused with poorly defined edges/may be blotchy Distinct edges or margins

Presentation/depth Intact skin with erythema (blanchable or non-blanchable), partial-thickness skin loss

Presentation varies from intact skin with non-blanchable erythema to full-thickness skin loss

Base of wound may contain non-viable tissue

Other Secondary superficial skin infection (e.g. candidiasis) may be present

Secondary soft tissue infection may be present

Finally, you have the power to end Incontinence-Associated Dermatitis (IAD).Now you have the power to end IAD. A clear improvement on traditional treatment options, 3M™ Cavilon™ Advanced Skin Protectant is a revolutionary new barrier with the power to transform the standard of IAD care.

Visit 3M.com/EndIAD to discover how you can offer your patients unparalleled protection and prevention.

IADPressure Ulcer

Distinguishing IAD from pressure ulcers/injuries

©NPUAP†