How does moisture affect skin integrity?

Why does moisture cause skin breakdown?

Intertriginous dermatitis (ITD), also referred to as intertrigo, results from sweat being trapped in skin folds with minimal air circulation. When the sweat is not able to evaporate, the stratum corneum becomes overly hydrated and macerated, facilitating friction damage that is often mirrored on both sides of the fold.

How does moisture damage skin?


The harmful effects of excessive moisture on the skin are well documented. When exposed to excessive amounts of moisture, the skin will soften, swell, and become wrinkled, all of which make the skin more susceptible to damage.

What is moisture related skin damage?

Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection.

What happens if skin is exposed to high levels of moisture?

Moisture-associated skin damage or MASD is defined as “inflammation and erosion of the skin caused by prolonged exposure to moisture and its contents, including urine, stool, perspiration, wound exudate, mucus, or saliva.”1,2 MASD encompasses the four forms of moisture-associated skin damage, which include 1) …

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What happens if your skin stays wet?

Maceration occurs when skin is in contact with moisture for too long. Macerated skin looks lighter in color and wrinkly. It may feel soft, wet, or soggy to the touch. Skin maceration is often associated with improper wound care.

What does moisture associated skin damage look like?

Moisture-associated skin damage appears as a diffuse area of erythema. It can extend into the skin folds and between the buttocks and down the inner thighs. There may be scaling of the skin with papule and vesicle formation. These may open with “weeping” of the skin, which exacerbates skin damage.

What can I use for moisture associated skin damage?

Management of MASD

  • Wash vulnerable skin with a gentle cleanser with minimal rubbing. Avoid the use of soaps with an alkaline pH. …
  • Use absorbent dressings for highly exudative wounds and match dressing changes to exudate levels. …
  • Use atraumatic tapes or adhesives. …
  • Apply a barrier to vulnerable skin.

Why does skin turn white band aid?

“A white bubble forms as Hydro Seal absorbs moisture, showing it’s working and maintaining the optimal environment for your healing wound,” she says. “After several days, the Hydro Seal bandage will begin to fall off on its own, and by that point, the wound should be well on its way to being healed.”

How do you prevent skin breakdown from incontinence?

Consider using a skin sealant or moisture barrier. Creams or ointments that contain zinc oxide, lanolin, or petrolatum form a protective barrier on the skin. Some skin care products, often in the form of a spray or a towelette, create a clear, protective film over the skin.

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What damage can incontinence do to the skin?

Prolonged contact of the skin with urine or faeces leads to a specific form of moisture-associated skin damage, known as incontinence-associated dermatitis (IAD). While this is a common condition encountered in all areas of nursing practice, gaps remain in our understanding of the many contributing factors.

What is Periwound skin?

The periwound (also peri-wound) or periwound skin, is tissue surrounding a wound. Periwound area is traditionally limited to 4 cm outside the wound’s edge but can extend beyond this limit if outward damage to the skin is present.

How do you heal skin breakdown?

The skin in this area will need moisturization with products such as glycerin, lanolin or mineral oil to replace natural moisture that is lost with frequent cleaning. A skin barrier ointment or creams should be used to protect the skin from moisture or irritation.