PROSHIELD^◊ Skin Care

Helping to maintain skin integrity

Skin care is deeper than you think

The PROSHIELD^◊Skin Care range is formulated for use as part of a skin care regime against moisture-related skin damage such as incontinence-associated dermatitis (IAD) and pressure ulcers on both intact and injured skin.^1-5

Best practice guidelines recommend the use of cleansers, with a protective barrier to protect and prevent the breakdown of skin.⁶

As part of an effective skin care protocol in a UK trust:

	The PROSHIELD Skin Care system was associated with a 26% reduction in pressure ulcer and IAD incidence compared to standard care.³
	PROSHIELD PLUS helped to prevent incontinence-associated dermatitis and moisture lesions when used as part of the PROSHIELD Skin Care system.³

View more on pressure ulcer prevention >

Cleanse and protect

PROSHIELD Foam & Spray Incontinence Cleanser

Effective prevention and management of moisture lesions and IAD without needing a moisturiser, when used with PROSHIELD PLUS^1-3
Rinse-free, eliminating the need to scrub delicate tissue
A pH-balanced⁷ formulation designed to eliminate odour and break down dried stool
Contains glycerine, which may help moisturise skin^8,9
Gentle, non-irritating formulation¹⁰

PROSHIELD PLUS Skin Protectant

Smooth and fragrance-free moisture barrier*^11,12 to protect and maintain skin integrity from exposure to faeces and urine^1,2,4
Safe and effective for the management of moisture-related skin damage^1,4,5
Moisturises and conditions the skin^13,14 with a visible, transparent sheen to facilitate monitoring*¹⁵
Helps prevent and temporarily protects chafed, chapped or cracked skin**^1-5, and helps protect peri-wound skin^1,2,4,5
Easy to apply, use and remove¹⁴

For best results, PROSHIELD Skin Care products should be used together, according to your established skin care protocol.

Find out more about skin management

Promoting systematic, holistic and multidisciplinary wound care

TIME wound management Our new T.I.M.E. clinical decision support tool (CDST) was developed with expert clinicians to promote consistency in wound care and assessment^16,17, and has been shown to give clinicians confidence in decision-making.¹⁸

Download and implement the T.I.M.E. clinical decision support tool

Information and ordering

For other wound management requirements

	ALLEVYN^◊ LIFE Foam Dressings for acute and chronic wounds.
	PICO^◊Single Use Negative Pressure Wound Therapy System (sNPWT)

Helping you get CLOSER TO ZERO^◊ pressure ulcer incidence.

For detailed product information, including indications for use, ingredients, directions, contraindications, precautions, warnings and/or important safety information, please consult each product’s package labelling, Instructions for Use (IFU) and/or drug facts prior to use.

For assistance, please contact us.

*demonstrated in vitro
**evidenced on IAD and moisture lesions.

References
1)   Ling L. Proshield skin care protective system: A sequence of evaluations. Gloucestershire NHS, UK. Presented at Wounds UK, 2011.
2)   Flynn D, Williams S. Barrier creams for skin breakdown, Nursing & Residential Care. 2011; 13 (11): 553-558.
3)   Wall L, Vernon T. Launch of a Skin Care Regime to reduce the incidence of Moisture Associated Skin Damage. Doncaster and Bassetlaw NHS Foundation Trust. Presented at TVS, UK, 2016.
4)   Maxwell J, Sinclair D. Treatment of moisture related lesions in children. Great Ormond St Hospital for Children NHS Foundation Trust, London UK. Poster presented at EWMA 2012, Vienna, Austria.
5)   Meuleneire, F. A new solution in the treatment of moisture lesions. AZ St Elisabeth Zottegem, Belgium. Presented at EPUAP 2010.
6)   Beeckman D et al. Proceedings of the Global IAD Expert Panel. Incontinence-associated dermatitis: moving prevention forward. Wounds International 2015.
7)   Smith & Nephew 2049. Review of Certificate of Analysis for Proshield Foam and Spray Incontinence Cleanser. RD/19/024.
8)   Commission E. Glycerin. In: Database CIS ed. http://ec.europa.eu/growth/tools-databases/cosing/index.cfm?fuseaction=search.details_v2&id=34040 European Commission, 2019.
9)   Gottschalack TE, McEwen GN. Glycerin. In: Gottschalack TE, McEwen GN, eds. International Cosmetic Ingredient Dictionary and Handbook. Vol , 10^th ed. Washington: The Cosmetic, Toiletry and Fragrance Associoation; 2004: 723.
10) Smith & Nephew 2019.Claims Support - "Gentle / Low Irritation" and "non-irritating and non-sensitising". Internal Report. PSS390.
11) Smith & Nephew 2019. Review of Certificate of Analysis for PROSHIELD Plus Skin Protectant. RD.19.016.
12) Smith & Nephew 2019 Verification Report for the Viscosity of PROSHIELD Plus Skin Protectant. U/064/R3.
13) Hoggarth, A., Waring, M., Alexander, J., Greenwood, A., Callaghan, T.A Controlled, Three-Part Trial to Investigate the Barrier Function and Skin Hydration Properties of Six Skin Protectants. Ostomy Wound Manage. 2005;51(12):30-42.
14) Howers, L. Evaluation of Proshield Plus in Nursing Homes for Inclusion onto Formulary in a Healthcare Trust. Paper presented at: Wounds UK; 2012; Harrogate, United Kingdom.
15) Smith & Nephew 2019. Verification Testing Report for Usability and Transparency for PROSHIELD Plus Skin Protectant. U/064/R1.
16) Ousey K, Gilchrist B, Jaimes H. Understanding clinical practice challenges: a survey performed with wound care clinicians to explore wound assessment frameworks. Wounds International. 2018;9(4):58-62.
17) Moore Z, Dowsett C, Smith G, et al. TIME CDST: an updated tool to address the current challenges in wound care. J Wound Care. 2019;28(3):154-161. Available at: Journal of Wound Care.
18)Swanson T, Duynhoven K, Johnstone D. Using the new T.I.M.E. Clinical Decision Support Tool to promote consistent holistic wound management and to eliminate variation in practice in Victoria, Australia: Part 1. Wounds International. 2019;10(2):38–47. Available at: https://www.woundsinternational.com/journals/latest-issue/wounds-international-journal

Skin Management

Key elements of effective skin care

Incontinence is a major risk factor in the development of skin breakdown. Incontinence-associated dermatitis (IAD) in particular describes the skin damage associated with exposure to urine or stool, potentially causing considerable discomfort. IAD can be difficult, time-consuming and expensive to treat.¹

Implement a structured skin care regimen to cleanse and protect

To prevent and manage IAD, a structured skin care regimen should be implemented to protect skin exposed to urine and/or faeces and help restore an effective skin barrier function.¹

For a structured skin care regimen, consider two key interventions:

Cleanse the skin: remove urine and/or faeces prior to the application of a skin protectant as part of a routine process
Protect the skin: to avoid or minimise exposure to friction, urine and/or faeces

	Poor skin condition and/or incontinence are cited as key elements of the SSKIN bundle, adopted by the NHS, for preventing pressure ulcers.²
	PROSHIELD^◊ Skin Care aims to facilitate a clear and consistent skin care regimen for patients with moisture-damaged skin, potentially those at a greater risk of developing IAD and/or pressure ulcers.^2-7

Choose your PROSHIELD Skin Care solution

Promoting systematic, holistic and multidisciplinary wound care

TIME wound management Our new T.I.M.E. clinical decision support tool (CDST) was developed with expert clinicians to promote consistency in wound care and assessment^8,9, and has been shown to give clinicians confidence in decision-making.¹⁰

Download and implement the T.I.M.E. clinical decision support tool.

Helping you get CLOSER TO ZERO^◊ pressure ulcer incidence.

For assistance, please contact us.

References
1)   Beeckman D et al. Proceedings of the Global IAD Expert Panel. Incontinence-associated dermatitis: moving prevention forward. Wounds International 2015.
2)   Ling L. Proshield skin care protective system: A sequence of evaluations. Gloucestershire NHS, UK. Presented at Wounds UK, 2011.
3)   Norris R, Bielby A, Freeman N, Piper B. Applying SSKIN bundle education and dermal pads in residential homes to improve the quality of care. J Com Nursing 2015; 29(2): 41-47.
4)   Flynn D, Williams S. Barrier creams for skin breakdown, Nursing & Residential Care. 2011; 13 (11): 553-558.
5)   Wall L, Vernon T. Launch of a Skin Care Regime to reduce the incidence of Moisture Associated Skin Damage. Doncaster and Bassetlaw NHS Foundation Trust. Presented at TVS, UK, 2016.
6)   Maxwell J, Sinclair D. Treatment of moisture related lesions in children. Great Ormond St Hospital for Children NHS Foundation Trust, London UK. Poster presented at EWMA 2012, Vienna, Austria.
7)   Meuleneire, F. A new solution in the treatment of moisture lesions. AZ St Elisabeth Zottegem, Belgium. Presented at EPUAP 2010.
8)   Ousey K, Gilchrist B, Jaimes H. Understanding clinical practice challenges: a survey performed with wound care clinicians to explore wound assessment frameworks. Wounds International. 2018;9(4):58-62.
9)   Moore Z, Dowsett C, Smith G, et al. TIME CDST: an updated tool to address the current challenges in wound care. J Wound Care. 2019;28(3):154-161. Available at: Journal of Wound Care.
10) Swanson T, Duynhoven K, Johnstone D. Using the new T.I.M.E. Clinical Decision Support Tool to promote consistent holistic wound management and to eliminate variation in practice in Victoria, Australia: Part 1. Wounds International. 2019;10(2):38–47. Available at: https://www.woundsinternational.com/journals/latest-issue/wounds-international-journal

PROSHIELD^◊ Skin Care