Incontinence-associateddermatitis(IAD),sometimesreferredtoaspcrinealdermatitis,i saninHamImationoftheskinassociatedwithexposuretourineorstool.Elderlyadults,andespeciallythosei nlongtermcarefacilities,areatriskfo rurinaryorfeca lincontinenceandIAD.Traditionally,IADhasreceived
littleattentionasadistinctdisorder,anditi ssometimesconfusedwithstageIorIIpressureulcers.However.,
amodestbutgrowingbodyofresearchi sbeginningtoprovideinsightsintotheepidemiology,etiology,and
piithophysioiogyofIAD.Inaddition,recentchangesi nreimbursementpoliciesfromtheUSCenterfor
MedicareandMedicaidServicesregardingpressureulcerpreventionhasfocusedattentiononthediffer-1entialdiagnosisofIADversuspressureulcer,anditsinfluenceonpressureulcerrisk.Color,location,depth,
'andthepresenceorabsenceofnecrotictissuearevisualindicatorsusedtodifferentiateIADfrompressurerelatedskindamage.Preventioni sbasedonavoidingorminimizingexposuretostoolorurinecombined
withastructuredskin-careprogrambasedonprinciplesofgentlecleansing,moisturimtion,preferablywith
anemollient,andapplicationofaskinprotectant.TreatmentofIADfocusesonthreemaingoals:
(i )removalofirritantsfro mtheaffectedskin;(ii)eradicationofcutaneousinfectionssuchascandidiasis;and
(iii)containmentordiversionofincontinenturineorstool.
กลั้นปัสสาวะไม่-associateddermatitis (เอียด), sometimesreferredtoaspcrinealdermatitis, saninHamImationoftheskinassociatedwithexposuretourineorstool.Elderlyadults,andespeciallythosei nlongtermcarefacilities, areatriskfo rurinaryorfeca lincontinenceandIAD.Traditionally,IADhasreceived
littleattentionasadistinctdisorder,anditi ssometimesconfusedwithstageIorIIpressureulcers.However.,
ของฉันamodestbutgrowingbodyofresearchi sbeginningtoprovideinsightsintotheepidemiology,etiology,and
piithophysioiogyofIAD.Inaddition,recentchangesi nreimbursementpoliciesfromtheUSCenterfor
MedicareandMedicaidServicesregardingpressureulcerpreventionhasfocusedattentiononthediffer-1entialdiagnosisofIADversuspressureulcer, anditsinfluenceonpressureulcerriskสี ตำแหน่ง ความ ลึก,
' andthepresenceorabsenceofnecrotictissuearevisualindicatorsusedtodifferentiateIADfrompressurerelatedskindamage.Preventioni sbasedonavoidingorminimizingexposuretostoolorurinecombined
withastructuredskin careprogrambasedonprinciplesofgentlecleansing, moisturimtion, preferablywith
anemollient, andapplicationofaskinprotectantTreatmentofIADfocusesonthreemaingoals:
(mtheaffectedskin removalofirritantsfro i) (ii) eradicationofcutaneousinfectionssuchascandidiasis และ
(iii) containmentordiversionofincontinenturineorstool
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