MASD: Moisture-Associated Skin Damage

Question 1

Types of MASD

Answer 1

Intertriginous (ITD)
Peristomal
Periwound
Incontinence-associated Dermatitis (IAD)

Question 2

Intertriginous (ITD)

Answer 2

Body folds

Skin-to-skin contact

Question 3

ITD risk factors

Answer 3

Obesity
Poor hygiene
Trapped moisture
Deep skin folds
DM

Question 4

Obesity & altered skin function

Answer 4

> sweat = > transepidermal H2O loss (TEWL) = > risk for fungal/bacterial infection

Question 5

Periwound MASD: Etiology

Answer 5

> exudate
Repetitive trauma
Age
Presence of: Heparin-binding proteins, bacteria, Histamine, Proteolytic enzymes, Inflammatory cytokines

Question 6

Periwound MASD: Prevention

Answer 6

LOWERS
Liquid Acrylates (skin prep)
Ointments (z-guard)
Windowed dressings (Duoderm)
External collection device (Wound manager)
Reduce exudate/edema (compression, elevation)
Super absorbant dressings (Hydrofiber, foam)