Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
How to use 3M™ Cavilon™ Wipes Your patients deserve to feel both comfortable and clean. The Cavilon wipe solution consists of two types of wipes: Daily Total Body Wash Cleanse and Moisturise 3M™ Cavilon™ Bathing & Cleansing Wipes For daily bed bathing we recommend one pack of Cavilon bathing & cleansing wipes per patient each day. These wipes offer the convenience of a combined cleanser and skin conditioner in a gentle and quick-drying wipe. Use one wipe for each of the eight body areas and then discard. Do not flush down the toilet. Cavilon bathing & cleansing wipes may be used at room temperature or warmed in 1 2 a microwave oven (see warming instructions on the pack). 3 3 6 8 5 4 Continence Care 4 Cleanse, Moisturise and Protect 3M™ Cavilon™ Continence Care Wipes To clean the skin after each incontinence episode we recommend the Cavilon continence care wipes. These wipes offer cleansing, conditioning and protection of the skin. This allows easy implementation of the key elements of a successful Incontinence-Associated Dermatitis (IAD) prevention programme. If additional protection is required Cavilon continence care wipes are compatible with 3M™ Cavilon™ Durable Barrier Cream and 3M™ Cavilon™ No Sting Barrier Film. Cavilon wipes - Go beyond the Basic Cleansing 7 7 Ordering Information Available to order via NHS Supply Chain from September 2014. 3M Code Product Description Size 9272 3M Cavilon Bathing & Cleansing Wipes 20 cm x 30 cm (7.8 inch x 11.8 inch) 8 12 9274 3M Cavilon Continence Care Wipes 20 cm x 30 cm (7.8 inch x 11.8 inch) 8 12 ™ ™ ™ ™ Wipes / Pack Packs / Case 3M™ Cavilon™ Wipes are made from biodegradable wipe material. References 1.Gray M., Bliss D., Doughty D., Ermer-Seltun J., Kennedy-Evans K.& Palmer M. (2007a) Incontinence-associated dermatitis: a consensus. Journal of Wound, Ostomy, and Continence Nursing 34, 45– 54 9.Marchaim D, et al., Hospital bath basins are frequently contaminated with multi-drug resistant human pathogens. Poster presented at SHEA 21st Annual Scientific Meeting, 2011 April 2. Maklebust J, Magnan MA, AdvWound Care. Nov 1994; 7(6):25, 27-8, 31-4 passim 10.Beeckman D. Van Lancker A. Van Hecke A. Verhaege A. A Systematic Review and MetaAnalysis of Incontinence-Associated Dermatitis, Incontinence, and Moisture as Risk Factors for Pressure Ulcer Development. Research in Nursing & Health 2014 Jun; 37(3):204-18 3.Incontinence Associated Dermatitis (IAD): Best Practice for Clinicians. Wound, Ostomy and Continence Nurses Society, 2011 4.Doughty D, et al., Incontinence Associated Dermatitis: Consensus Statements, Evidence – Based Guidelines for Prevention and Treatment, and Current Challenges, Journal of Wound, Ostomy and Continence Nursing. 2012; 39(3):303-315 5.Johnson D, Lineweaver L, Maze L, Patients bath basins as potential sources of infection: multicenter sampling study. Am J Critical Care 2009; 18:31-40 6. Knibbe N, et al., LOCOmotion, Ergonomic aspects of washing without water, 2005 7.Lewis-Byers K, Thayer D. Kahl A. An evaluation of two incontinence skin care protocols in long-term care settings. Ostomy Wound Management. 2005; 48 (12): 44-51 11. S ibbald R., Campbell K., Coutts P. & Queen D. (2003) Intact skin – an integrity not to be lost. Ostomy/Wound Management 49, 27–33 12. N ewman D., Preston A. & Salazar S. (2007) Moisture control, urinary and faecal incontinence, and perineal skin management. In Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 4th edn (Krasner D., Rodeheaver G. & Sibbald R., eds), HMP Communications, Malvern, pp. 609–627 13. B eeckman D., Schoonhoven D., L., Verhaeghe S., Heyneman A. & Defloor T. (2009) Prevention and treatment of incontinence-associated dermatitis: literature review. Journal of Advanced Nursing 65(6), 1141–1154. doi: 10.1111/j.1365-2648.2009.04986.x 8. Beeckman D. et al., JWound Ostomy Continence Nurs. 2011 3M Health Care Limited Critical & Chronic Care Solutions Division 1 Morely Street Leicestershire LE11 1EP Loughborough United Kingdom Phone: +44 1509 61 16 11 Fax: +44 1509 23 72 88 www.3M.co.uk/healthcare 3M and Cavilon are trademarks of the 3M Company. © 3M 2014. All rights reserved. Please recycle. Printed in Germany. GF250 A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive 3M™ Cavilon™ Skin Care Range A sensitive Issue handled with care Go Beyond the Basic Cleansing Do your patients deserve optimal skin care? Skin is an organ that requires protection. It provides protection from mechanical impact, pressure, variation in temperature, micro-organisms and chemical irritation. Traditional bed bathing and the presence of faeces and urine could have a negative impact on these important natural functions of your patients’ skin. Daily Bed Bathing Washing patients is an important task but also a daily challenge for many nurses. Unfortunately regular cleansing with water and soaps can disrupt the natural acid mantle of the skin and compromise its barrier properties. Also, washcloths and towels can be especially rough, resulting in skin damage and pain. Incontinence-Associated Dermatitis (IAD) When your patients are incontinent their skin is exposed to urine and/or faeces. Urine makes the skin more vulnerable to friction. It also increases its pH and promotes microbial growth. This is often accompanied by IAD which is a common problem in patients with faecal and/or urinary incontinence.1 The lesions are characterised by erosion of the epidermis and a macerated appearance of the skin1. Continence issues and skin breakdown related to incontinence have a considerable effect on patients’ physical and psychological well-being.11 12 It is a daily challenge for healthcare professionals in hospitals, nursing homes and homecare to maintain healthy skin in patients with incontinence.12 Pressure Ulcers Your patients with IAD have a higher risk of developing a pressure ulcer.3 One study has shown that the odds of having a pressure ulcer were 22 times greater for hospitalised adult patients with faecal incontinence compared to hospitalised patients without faecal incontinence, and 37.5 times greater in patients who had both impaired mobility and faecal incontinence.2 Cleanse Nursing Homes Hospitals Moisturise 80 Preventing IAD 70 % of patients 60 Protect The three essentials of IAD prevention are: 50 1. Cleanse the skin: clean the skin routinely and at the time of soiling. 2. Moisturise the skin daily. 3. Protect the skin, apply a moisture-barrier cream or barrier film 40 30 20 10 0 Urine Faecal IAD Charité University Berlin, August 2012 | Prof. Dr. T. Dassen, Dr. J. Kottner e.o. if the patient has significant urinary or faecal incontinence (or both). The Approved Standard of Care 3M™ Cavilon™ Wipes are a new standard of care providing your patients with an optimal way to feel both comfortable, clean and protected. You can gently wash and condition each part of the body and give protection where necessary with a low friction medical wipe. At the same time you will reduce the risk of cross contamination. 3M™ Cavilon™ Bathing & Cleansing Wipes 3M™ Cavilon™ Continence Care Wipes Daily Total Body Wash: Cleanse + Moisturise Continence Care: Cleanse + Moisturise + Protect Gentle Skin Cleansing and Conditioning Your patient’s skin will be protected 3M™ Cavilon™ Wipes offer a gentle way to clean and condition deli- Evidence suggests that disposable wipes are more effective for cate skin. The Cavilon wipes are designed for medical situations and prevention of IAD than a skin care regime combining neutral soap are therefore hypoallergenic. The lotion is pH skin-neutral and free and water.4 The Cavilon continence care wipes contain 3 % dime- from perfumes, soaps, alcohol and colouring agents which could thicone providing an effective barrier from moisture and body fluids irritate skin. Furthermore, the preservative system does not contain associated with incontinence. The transparent barrier makes your parabens and other potential irritants. Cavilon wipes condition your regular skin assessments easy, an important step in pressure ulcer patients’ skin with moisturisers. Moisturising helps maintain normal prevention. levels of epidermal lipids and support the skin’s natural barrier function.3 Time and cost savings for you and your health care facility Low friction compared to traditional washcloths Based on studies and practical experience, wipes reduce the time Washcloths and towels can cause friction and feel rough on fragile needed to wash immobile patients by 43 %.6 Use of a no rinse and at risk skin. Cavilon wipes are soft and gentle to the skin. cleanser also saved an average of 9 minutes.7 Time saved can be used for other important care activities. The procedure will be more cost effective because fewer materials are required such as basins, soap, wash mitts, towels, and warm water. Laundry and logistical costs are also reduced. Infection Control With Cavilon bathing and cleansing wipes you can wash each part of the body with a separate clean wipe. The wipes themselves have been produced in a clean room environment. Normal washcloths and bath basins are known reservoirs of harmful bacteria.5 With Cavilon wipes you will eliminate the risk of dirty wash basins and spilled water. Wash cloth texture can be rough on skin Cavilon bathing & cleansing wipes are soft and gentle to skin The Evidence Supporting Use of Wipes A 3-in-1 Perineal Care Washcloth Impregnated With Dimethicone 3% Versus Water and pH Neutral Soap8 – Beeckman D. et al., JWound Ostomy Continence Nurs. 2011 November The research team compared the effectiveness of a 3-in-1 perineal care washcloth versus standard of care (water and pH neutral soap) to prevent and treat incontinence-associated dermatitis (IAD). The product under study was a soft, pre-moistened washcloth, including 3 % dimethicone, with cleansing, moisturising, and barrier protection properties. Experimental Group Control Group IAD Severity Score (Max. = 10) 10 9 Conclusion: A defined (structured) skin care regimen, including the use of a soft pre-moistened 8 7 washcloth impregnated with a 3 % dimethicone skin protectant, resulted in a 6 significantly reduced prevalence of IAD and a trend toward less severe lesions. 5 4 This study provides evidence supporting the use of a 3-in-1 perineal care wash- 3 cloth as more effective than standard care including water and a pH neutral soap 2 for IAD prevention and treatment. 1 0 1 2 3 4 5 6 Time FIGURE 1: Graphic representation of the evolution of incontinence-associated dermatitis (IAD) prevalence and severity over time. Link between wash basins and hospital acquired infections Several published studies prove a strong link between the use of wash basins and transfer of pathogens from one patient to another. The hospital environment is increasingly recognised as a reservoir for hospital-acquired pathogens. During a 44-month study period, a total of 1,103 basins from 88 hospitals in the United States and Canada were sampled. Overall, 62.2 % of the basins were contaminated with commonly encountered hospital-acquired pathogens.9 Link between Incontinence Associated Dermatitis (IAD) and Pressure Ulcers A systematic review and meta-analysis was conducted and concluded that there is an association between IAD, its most important aetiologic factors (incontinence and moisture), and pressure ulcers (PUs).10