Irritant contact dermatitis and pressure injury are common sequelae of fecal incontinence. The advanced practice nurse prevents and treats these problems while managing the underlying fecal incontinence. This chapter describes the manifestations of irritant contact dermatitis due to incontinence and pressure injury, explains how to assess these conditions and their severity, including on darkly pigmented skin, and how to make a differential diagnosis. The chapter explains the association of incontinence to the inflammation of irritant contact dermatitis and pressure injury along with other risk factors. It summarizes the interventions used for prevention and treatment of both skin problems highlighting the expected outcomes for the advanced practice nurse to evaluate.

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Management of Skin Damage Associated with Fecal and Double Incontinence

  • Mikel Gray,
  • Donna Z. Bliss,
  • Sheila Howes Trammel

摘要

Irritant contact dermatitis and pressure injury are common sequelae of fecal incontinence. The advanced practice nurse prevents and treats these problems while managing the underlying fecal incontinence. This chapter describes the manifestations of irritant contact dermatitis due to incontinence and pressure injury, explains how to assess these conditions and their severity, including on darkly pigmented skin, and how to make a differential diagnosis. The chapter explains the association of incontinence to the inflammation of irritant contact dermatitis and pressure injury along with other risk factors. It summarizes the interventions used for prevention and treatment of both skin problems highlighting the expected outcomes for the advanced practice nurse to evaluate.