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Preventing Incontinence-Associated Dermatitis (IAD)
Professional Guidelines
IHI Protecting 5 Million Lives From Harm Campaign targets pressure ulcer prevention
The 5 Million Lives Campaign is an initiative to protect patients from five million incidents of medical harm over the next two years (December 2006 - December 2008).

IHI "Prevent Pressure Ulcers" How-to Guide1,2
4.Manage Moisture: Keep the Patient Dry and Moisturize Skin

Cleanse skin at time of soiling and at routine intervals with "gentle use of a mild cleansing agent that minimizes irritation and dryness of the skin."
"Minimize exposure of the skin to moisture due to incontinence, perspiration, or wound drainage."
"Use topical agents that act as moisture barriers and moisturize the skin."
"Provide supplies at the bedside of each at-risk patient who is incontinent. This provides the staff with the supplies they need to immediately clean, dry, and protect the patient's skin after each episode of incontinence."
"Provide premoistened, disposable barrier wipes to help cleanse, moisturize, deodorize, and protect patients from perineal dermatitis due to incontinence."

Download "Prevent Pressure Ulcers" How-to Guide
Download "Prevent Pressure Ulcers" Annotated Bibliography
View campaign materials for pressure ulcer prevention (and all 12 campaign interventions)
View campaign highlights
 
Algorithm for prevention and management of perineal dermatitis
Society of Urological Nurses & Associates (SUNA), 2003.
Download algorithm (.pdf)
 
Pressure ulcers in adults: prediction and prevention
AHRQ (formerly AHCPR) Clinical Practice Guideline Number 3, AHCPR Pub. No. 92-0047: May 1992.
View Clinical Practice Guidelines main page
View clinical guide
View quick reference guide
 
Pressure ulcer prevention points
The National Pressure Ulcer Advisory Panel (NPUAP), Reston, VA.Summary of the AHCPR Clinical Practice Guideline, Pressure Ulcers in Adults: Prediction and Prevention (AHCPR Publication No. 92-0047. Rockville, MD: May 1992).
Download NPUAP Summary (.pdf*)
 
What the experts say in incontinence care and pressure ulcer prevention guidelines
Excerpts from AHRQ, NPUAP, WOCN Society and NIH Clinical Center.
Download (.pdf*)
 
1. In addition to other interventions. 2. Getting started kit: prevent pressure ulcers, how-to guide. Protecting 5 Million Lives From Harm Campaign, Institute for Healthcare Improvement. 2006 Dec.
 
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