Skin where the barrier function has been impaired by urine and or faeces. The pH of the skin has increased and the skin has been attacked by microbials. The skin is broken and macerated.

• To promote patient comfort
• To heal
• To alleviate cause

• Prior to any skin care, an assessment of the patient's skin condition and incontinence should be undertaken
• Patient should be wearing incontinence pads which have superabsorbers, no pulp pads. When wearing superabsorbent pads washing of the skin at every pad change is not required, (if urinary incontinence only).
• If faecal incontinence occurs, wash gently with a pH balanced washmousse, do not rub the skin vigorously.
• Gently apply intrasite gel to skin, place jelonet over the gel and keep in place with incontinence pad and net pats
  OR
• Apply zinc paste/ointment with paraffin impregnated gauze over and secure as above.
• If patient has continuous faecal leakage consider faecal collector or anal plus.

• Advise patient not to use talc.
• Encourage adequate fluid intake and a healthy nutritious diet.
• Discourage the use of barrier creams when wearing an incontinence pad with superabsorbers.