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The prevention and treatment of IAD in community patients

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Incontinence is more common than expected Incontinence is more common than expected

Incontinence is a widespread problem in community-dwelling adults, with prevalence estimates between 10-15 per cent for faecal incontinence and up to 46% for urinary incontinence).1,2

This article provides an update on: the pathophysiology of incontinence-associated dermatitis; the differentiation between incontinence-associated dermatitis (IAD) and pressure ulcers; and the prevention/treatment of IAD.

Patient example

Case study: Mrs Smith

Mrs Smith, age 74, spent several weeks in hospital after hip replacement surgery. Since admission to hospital, she became incontinent of both urine and faeces.

She experiences episodes of diarrhoea requiring frequent pad changes. Mrs Smith returned home last month, but she continues to experience both urinary and faecal incontinence and has persistent bouts of diarrhoea.

She is able to make short walks around the house with the support of her physiotherapist and enjoys time in the garden. Although she maintains a normal body weight, her eating and drinking habits are inadequate. The community nurse visits Mrs Smith on a daily basis to support her with basic hygienic care (washing and dressing).

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