21st Century Skin Protection for the Incontinent Patient

The purpose of the investigation is to determine whether underpad selection reduces the risk of pressure ulcer development and Incontinence Associated Dermatitis. Prior to 2010 our facility had been using cloth underpads. In addition, plastic lined diapers were used throughout the facility for our incontinent patients. There was an increase in facility acquired pressure ulcers which led us to evaluate our underpads. This included evaluating cloth and disposable underpads, taking into consideration the cost of laundering the cloth underpads. We also investigated the rationale for diaper usage throughout the facility. The product was taken to our Value Added Committee for review. Trial / evaluation was conducted per our woundcare team. Cost, durability, and efficacy were considered. It was concluded that there was a marginal increase in cost for disposable underpads. The absorbptive qualities of the disposable underpad was remarkably  better in wicking the liquid / moisture away from the skin and containing large volumes into the pad. By using disposable underpads we reduced our facility acquired pressure ulcers from 4.3% in 2010 to 1.2% in 2012, thus realizing an indirect savings to the facility in reducing pressure ulcers.