Global

‡ In these countries please contact our distributor

ExcoriatedTissue: Vernon, T

Smith & Nephew logo

spacer

Intrasite logo

 


Intrasite Gel in the treatment of excoriated tissue

 

Tracy Vernon, BA (Hons), RGN. CNS - Tissue Viability, Doncaster Royal Infirmary

 

Introduction
The management of tissue damage caused by excoriation of the skin as a result of urinary or faecal incontinence can be a challenge to nurses.

 

Patient One
RK is a 16-year-old girl who suffers from cerebral palsy, spastic quadriplegia, epilepsy and asthma. She is doubly incontinent as a result of her multiple pathological diagnoses. She was admitted to a paediatric ward within our Trust with a chest infection which proved to be Pseudomonas. Several days following admission RK was noted to have a red, excoriated anal area. She had been experiencing severe diarrhoea for some days as a consequence of the antibiotic therapy she had been prescribed. The nursing staff had been applying a barrier cream to the affected areas as this had previously been proven to be effective in the management of excoriated skin.

 

The nursing challenge
Manage tissue damage on a 16-year-old girl with a multiple pathological diagnosis.

 

Nursing aims

  • To use a treatment which would reduce excoriation
  • To use a wound care product which would provide the optimum environment for wound healing
  • To have an easy-to-use product for frequent utilisation

 

Nursing interventions
The nursing staff referred RK to the Tissue Viability Nurse as there was not any sign of improvement following the use of the barrier cream. RK was already known to the Tissue Viability Nurse as she had been involved in RK's care during her previous periods of admission. The Tissue Viability Nurse was able to explain to RK's mother that Intrasite Gel had been used for the treatment of excoriation in other patients with excellent results. RK's mother consequently gave permission on behalf of RK to use IntrasiteGel.

 

Outcome
The nursing staff applied the Intrasite Gel over the affected area as shown in Figure 1. The Intrasite Gel was reapplied following the cleansing of the skin every two hours or after each episode of faecal or urinary incontinence. Figure 2 shows a dramatic change in the condition of RK's skin, Intrasite Gel had been used as indicated above for a period of three days.

 

Patient Two
SC is a three-year-old girl who also suffers from cerebral palsy. She was admitted into the paediatric ward with a severe chest infection. The nursing challenge Manage tissue damage on a 3-year-old girl with cerebral palsy.

 

Nursing aims

  • To use a treatment which would reduce excoriation
  • To use a wound care product which would provide the optimum environment for wound healing
  • To have an easy-to-use product for frequent utilisation

 

Nursing interventions
Having been prescribed antibiotic therapy she also presented with bouts of severe diarrhoea. SC's parents were happy for Intrasite Gel to be used, as the barrier creams previously used had not been effective. The gel was applied onto the affected area in a similar way to a cream application.

 

Outcome
Intrasite Gel was applied to the affected areas over a six day period. Figure 3 shows the areas of excoriation prior to the use of Intrasite Gel. Picture 4 shows the results on the sixth day. By using Intrasite Gel a major improvement has been noted in the condition of SC's skin.

 

General conclusion
One hopes by sharing two different patient profiles healthcare professionals will see a place for Intrasite Gel in the management of excoriation. By presenting these case studies, one can illustrate the benefits of using Intrasite Gel on excoriated skin.


Patient One Case Study

 

Figure 1 figure 2
Figure 1 Figure 2
figure 3 figure 4
Figure 3 Figure 4