Skin Protection | Urinary Incontinence Products and Supplies

A person may be a risk for pressure ulcers (also known as bed sores) given a variety of conditions. An ulcer may develop when tissue from the skin is compressed between a bony area and a firm surface for an extended time. Bony prominences can include the tailbone region, hips, elbows, heels, spine, and even the back of the head! A number of risk factors may include poor nutrition, poor mobility, incontinence that is not properly managed, staying in the same position for extended periods, and at times can occur from friction due to pulling and moving someone who is disabled.

A common situation of a person developing a pressure ulcer on his/her bottom would be a person who sits in a wheelchair most of the day. Added risk occurs if this person is incontinent.Further risk is present if this person has a poor diet. The very best treatment is PREVENTION! As a nurse, I have seen numerous pressure ulcers. Please, become educated as to their prevention! The complications and costs involved with treatment of these wounds can be enormous. That old saying applies, "An ounce of prevention, is worth a pound of cure." If someone you know has developed a reddened area on their skin, do not wait! Consult his/her physician or home care nurse (if applicable). The wound may quickly advance to a higher stage ulcer without prompt treatment. I cannot stress this enough.

Here are some suggestions:
Check the skin particularly prominent bony areas daily.
Clean soiled skin well just as you would a newborn or infant!
Protect skin from burning of urine. A variety of barrier products exist. Our site has a few as well.
Do not allow the skin to become overdry. Moisturize, do not use hot water, humidify in wintertime.
Use caution in regards to massaging. This action could be harmful to frail, high risk skin.
Learn proper methods of moving a person in order to avoid friction and shearing.
Diet is very important and often overlooked! Consider a dietician consultation. Check with the physician for an order for this service.
Mobility is critical. Be sure to stay on top of what has been recommended for you or your loved one. If you see that mobility is decreasing, check with the physician or therapist (if applicable) what additional measures may help.
Do not remain in the same position for greater than 1-2 hours. This time frame is just a guideline and may be different for each person.
Look into purchasing protective padding, wedges, etc. as needed to help protect risk areas.
Check with the physician regarding ordering a home care consultation to evaluate for any further needs that may have been overlooked.

There are many resources available to you. You may check with our resource page as a start!