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Continence

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  1. Continence Jean Heer RN BS CWOCN DAPWCA

  2. Objectives: • Anatomy of the skin • Effects of incontinence on skin • Complications of incontinence • Prevention measures for incontinence management • Discuss reasons for those measures

  3. Anatomy of the skin • 3 main layers

  4. Take care of the skin • Healthy skin normal PH between 4.3 and 5.9 • Microorganisms on the skin can effect the PH • Additionally, prolonged contact with fluid, can increase the permeability of the skin • Fecal enzymes damage the epidermis and be very caustic to the skin • Briefs and pad help retain moisture and heat

  5. Does this look familiar?

  6. How many pads were on this pt?

  7. Do we really need a brief?

  8. Did we need a brief and pads for him?

  9. “JUST IN CASE” OF WHAT?

  10. Remember: • ONLY use ONE air flow pad • Greatly decreases flow of air causing diminished offloading of bed • Be the patients advocate- don’t use the pads and briefs unless the patient REALLY needs it

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