Wound Care Plan

Incontinence Assoicated Dermatitis (Category 2 – Epidermis loss) – Shepparton Retirement Village

Last Updated
09 August 2025
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Quick Overview

Reference ID Number: SRV-WCP-14

Categories

Scope of Practice (ScOP) Designation

Medical Officer,Registered Nurse (RN),Enrolled Nurse (EN)

Treatment Goals

Heal epidermis and restore skin integrity

Aim of Dressing

To dry out the area and allow healing of the epidermis

References

Shopping List

Adapt Stoma Powder,Stomahesive Stoma Paste (57g)
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

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    Care Plans

    Patient has known IAD

    Patient has had bouts of incontinence and their perianal skin, sacral and/or thigh regions have epidermal loss from the effluent.

     Swipe 
    Step 1

    Clean the affected area

    Thoroughly clean the affected area. This could mean a shower, bed bath with some pH neutral soap or soap free wash
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    Step 2

    Apply Stoma powder

    Apply stoma powder heavily and then brush off the excess. The powder will adhere to only the wet areas caused by the epidermis loss. It is crucial you brush off the excess powder. This step will allow the Stoma paste to adhere to the wet areas where as it would normally slide off.
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    Step 3

    Apply Stoma paste

    Apply the stoma paste. You MUST use the convatec paste as it contains alcohol which dries out the area. It will however sting the patient for the same reason. Apply thinly. *TIP - wet your finger to aid smoothing it out. Do NOT saturate the paste otherwise it will have no benefit*
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    Step 4

    Repeat

    After each bout of incontinence clean the area again. This could just be using warm clothes with a small amount of soap and dried thoroughly.
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    IAD has improved

    Once the patient's IAD has stopped weeping you can transition to category 1's care plan (as follows)

     Swipe 
    Step 1

    Clean the affected area

    Thoroughly clean the affected area. This could mean a shower, bed bath with some pH neutral soap or soap free wash
    Products Used
    Step 2

    Apply Comfort Barrier wipes

    Apply Sage Molicare Skin Barrier Cream
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    Step 3

    Repeat

    After each bout of incontinence clean the area again. This could just be using warm clothes with a small amount of soap and dried thoroughly.
    Products Used