Accidents happen. Skin damage shouldn’t.

Accidents happen. Skin damage shouldn’t.

Why incontinence care should always incorporate skin care.
J'ADERMA Skin Care (NZ)
J'ADERMA Skin Care
J'ADERMA Skin Care: Ideal for incontinence care

“While the availability and effectiveness of pads and the decline in stigma associated with incontinence have helped the management of the condition, the importance of skin care has yet to be universally accepted" says Jan Rice, Wound Consultant. 

Why incontinence care should always incorporate skin care.

Incontinence is the medical term used to describe accidental leakage of urine from the bladder or faecal matter from the bowel.

The two main types of urinary incontinence are stress incontinence and urge incontinence.

Incontinence is a lot more common than we think.

A report commissioned by the New Zealand Continence Association suggests that 1.1 million people (25% of the population) aged 15 years and over, suffer from incontinence.

Surprisingly, 98% of those people live in the community - not in aged/residential care facilities.

Although there is a skew towards older women, 25% of younger women and 22% of older men also suffer urinary incontinence.1

The consequences of incontinence:

  • Impact on quality of life
  • Embarrassment and fear
  • Interference with recreational activities
  • Impact on relationships
  • Skin damage

Effective management is possible...

There is no doubt that incontinence pads have improved in their ability to absorb moisture.

But as good as they are, there are still precautions that incontinence sufferers should take to protect their skin.

Jan Rice, Wound ConsultantAs well as the discomfort of irritated skin further impacting on the enjoyment of life, damp warm skin is the ideal breeding ground for bacterial and fungal infections.

“While the availability and effectiveness of pads and the decline in stigma associated with incontinence have helped the management of the condition, the importance of skin care has yet to be universally accepted" says Wound Consultant Jan Rice. 

Jan Rice - Wound Consultant

It has been found that 42.5% of incontinent patients suffered from incontinence affected skin.2

We tend to think there’s nothing more sensitive than a baby’s soft skin.

But sadly, as we age, our skin becomes thinner and can be more fragile than a baby’s, making it more vulnerable to damage.

And the repair process is also less effective.

Unfortunately, the incidence of bladder leakage or incontinence tends to increase with age, so we need to pay as much attention to our own skin as we do to that of our grandchildren.

The ammonia and urea from urine can severely damage skin.

It has been found that 42.5% of incontinent patients suffered from incontinence affected skin.2

You can learn more about the skin here.

Grandmother and baby have a lot more in common than just their family
Good skin care...

The ammonia and urea from urine can severely damage skin.

It is recommended that “good skin care practices are carried out all day, every day …it’s important to cleanse thoroughly and apply creams gently.”3

J'ADERMA's three simple steps1:

Firstly, it is recommended that sufferers use a gentle pH balanced cleanser, not soap to keep the area clean and odour free.

The J’ADERMA No-Rinse Cleansing Foam has been specifically developed for this purpose.

It is a convenient, portable cleanser which is ideal for people ranging in condition from mild to frequent incontinence.

The gentle pH formula quickly lifts and removes germs and bacteria, while moisturising the skin – leaving it clean and refreshed. 

As the name suggests, J’ADERMA No-Rinse Cleansing Foam requires no rinsing, so it can used simply and discreetly away from the home environment.


2:

Prevention is always better than cure, which is why wound care experts recommend another important step - an effective barrier cream to shield the skin from moisture.

Once again, it should be free from parabens, as well as sodium laurel sulphate.

A continence care barrier cream should always be fragrance-free, to prevent potential reactions, well absorbed, so it doesn’t clog incontinence pads and dermatologically tested.4

Fragrance-free J’ADERMA Fragile Skin Barrier Cream has been specifically balanced and enriched with ingredients that are designed to shield, soothe and protect fragile skin.

It also contains Paw Paw, an ingredient traditionally used to soothe and nurture the skin.

J'ADERMA Barrier Cream should be used to protect the skin before an ‘event’ occurs.

Importantly, the cream is quickly absorbed, so it doesn’t compromise the effectiveness of incontinence pads.


3:

It is also important to soothe the skin to prevent dryness or cracking and further irritation.

The ideal formulation should be paraben free and dermatologically tested.

The J'ADERMA Rapid Relief Rash Cream is exactly that.

Designed to soothe, protect and rapidly relieve dry, cracked and irritated skin, J'ADERMA Rapid Relief Rash Cream also contains Zinc Oxide, traditionally used to support skin healing, soothe irritated skin and improve the state of wounded skin.

The cream can be re-applied to bolster and enhance the effects of the cream and revive compromised skin.

The product is recommended for all family members who are prone to incontinence related issues, from young children to adult patients.

J'ADERMA Rapid Relief Rash Cream can be used after an incontinence accident.

The J’ADERMA Skin Care Range
What else can help with managing incontinence?

There are a number of causes and risk factors that can contribute to incontinence.

Pregnancy and childbirth can stretch and weaken the pelvic floor muscles and ligaments, which is why incontinence is more common in women than men.

As we age, our bladder muscles can become less effective, decreasing the urine storage capacity and becoming less able to expand and contract, so pressure can lead to unexpected leakage.

Damage to nerves, over-activity of the bladder muscle and certain medical conditions can also cause incontinence.

Pelvic Floor MusclesThe Pelvic floor muscles are a layer of muscles that support the abdominal and pelvic organs.

These muscles are like a ‘hammock’ and span from the pubic bone to the coccyx in both women and men.

Pelvic floor or Kegel exercises are used to keep those muscles in good shape.

A web search for pelvic floor or Kegel exercise will show you in more detail how they are done, but here’s a brief overview:

  1. Imagine you’re trying to stop urine flow after it’s started. That’s the pelvic floor muscle at work.
  2. Tighten that muscle and try and hold for 5 seconds, then relax for 5 seconds. Then repeat 10 times. You may need to start with 2 or 3 seconds and build up to longer durations.
  3. Repeat this exercise three times a day until you can hold the muscle for 10 seconds each time.

However, there are a number of devices that have now been developed to help the exercise process.

EMS is an acronym for Electrical Muscle Stimulation.

It is related to TENS (Transcutaneous Electrical Nerve Stimulation), a technique that has been used for many years to manage pain.

Using a similar mode of action, EMS has become a well-established method for treatment of pelvic floor weakness as it stimulates the nerves supplying the pelvic floor muscles to contract.

These muscle contractions retrain the muscles, increase their effectiveness and improve their condition to build strength and tone, allowing users to develop their own muscle control.

Pelvic Floor Exercisers send gentle electrical muscle stimulation directly to the pelvic floor muscles through a discreet probe to help strengthen/tone or soothe these muscles.

You can explore the range of TensCare Pelvic Floor Exercises here.

TensCare Elise Pelvic Floor Exerciser
Contact Us

For more information about the J’ADERMA or TENSCARE range, please contact JA Davey Ltd on 0800 523 583, or your local representative Maria Jones on 0275 329 443 or at mariajones@jadavey.co.nz

References
  1. Economic Costs of Incontinence in New Zealand
  2. Junkin, J & Selekof, JL. Prevalence of incontinence and associated skin injury in the acute care inpatient. J Wound, Ostomy, Continence Nurs. 2007; 34(3): 260-269.
  3.  Continence Foundation of Australia. 2010. Skin Care & Incontinence. p.1-13.
  4. Jan Rice, Wound Care Consultant. https://www.continence.org.au/pages/skin-care.html
Mandatories

TAPS Approval No: NA 10415