Incontinence associated dermatitis SkinHealth360™ Platform

Cardinal Health™ Skin and Wound Management

So much to protectMeet Nancy.Ever since she was a little girl, she dreamed of being an esteemed dancer with the Rockettes. Discipline and intense focus — the themes of her dancing career — led to five graceful and glamourous years on the Radio City Music Hall stage.

Now, her dancing days are a fond memory, but Nancy’s nurses honor her story with a daily “dance” around the courtyard.

Nancy, like many incontinent residents, has developed incontinence associated dermatitis (IAD), a common form of moisture-associated skin damage.

Protecting Nancy’s dignity is top priority, but her skin microbiome needs to stay balanced and healthy to deliver on the promise of providing great care.

Count on Cardinal Health to provide you with the best incontinence care products — along with the support of our expert team — to keep her skin, her dignity and her dancing legacy safe and protected.

Understanding incontinence associated dermatitis (IAD)

residents die as a direct result of a pressure injury each year4; IAD is a common precursor

When it comes to skin, managing heat and moisture are key to keeping skin flora at a healthy level and maintaining a balanced skin microbiome.

Nancy is not alone. IAD — a form of contact dermatitis caused by urine and/or feces damaging the health of the skin — is prevalent in nearly half of residents in long-term care facilities.1

IAD is most commonly found in the perineal area, with symptoms including pain, burning, itching and tingling. The clinical characteristics of IAD include blanchable erythema, a glistening appearance due to minimal skin breakdown and weeping, and partial-thickness skin loss.

Skin breakdown, including IAD and the pressure injuries it can lead to, is a significant, costly medical problem affecting 2.5 million people each year.2

Understanding the microbiome

additional staff time per day caring for IADs3

prevalence of IAD in residents of long-term care facilities1

34 minutes

41%

60,000

pressure injuries could be prevented annually5

250,000+

Learn more about the roles moisture management and skin flora play in maintaining your residents’ wellbeing with a new CE course from Cardinal Health:

Microbiome Management: Strategies for maintaining skin health and preventing pressure injuries

Visit cardinalhealth.com/CE to learn more.

PreventManage incontinence care Ensure residents like Nancy are matched with the right incontinence products for their needs.

BreatheEasy™ briefs are part of an innovative new line of truly breathable incontinence products from Cardinal Health that are cooler, drier and more comfortable, resulting in a more balanced microclimate for improved skin health.

Wings™ Quilted Plus with BreatheEasy™ Technology

Code T-code Sizing Color Packaging Case qty.

66132 T4521 Small (20-31 in.) Peach 12 ea/bg, 8 bg/cs 96

66133 T4522 Medium (32-44 in.) White 12 ea/bg, 8 bg/cs 96

66134 T4523 Large (45-58 in.) Blue 18 ea/bg, 4 bg/cs 72

66135 T4524 X-Large (59-64 in.) Beige 15 ea/bg, 4 bg/cs 60

Wings™ Quilted Ultra with BreatheEasy™ Technology

Code T-code Sizing Color Packaging Case qty.

77073 T4522 Medium (32-44 in.) White 12 ea/bg, 8 bg/cs 96

77074 T4523 Large (45-58 in.) Blue 18 ea/bg, 4 bg/cs 72

77075 T4524 X-Large (59-64 in.) Beige 15 ea/bg, 4 bg/cs 60

Develop a skin wellness plan Routine skin assessments and checks for changes are crucial to protecting fragile skin like Nancy’s.

Limit the number of layers with a “less is best” approach to bed setups. Because each additional layer under a resident increases the likelihood of IAD by 8.3%,6 consider replacing layers of chux, reusable underpads and draw sheets with one power layer: a premium underpad from Cardinal Health.

Premium underpads

Item No. Description Size Case qty.

P2336C Wings™ Quilted Premium Comfort Underpad (up to 300 lbs)

23 x 36 in. 72

P3036C Wings™ Quilted Premium Comfort Underpad (up to 300 lbs)

30 x 36 in. 40

Prevent, treat and manage IADEvery day, you strive to provide optimal care for residents just like Nancy — and it all begins with the skin. At Cardinal Health, we believe skin health is mission critical. With our comprehensive portfolio, we offer what you need to prevent, treat and manage difficult-to-heal wounds.

Three zones of breathability

Wing zone

Core zone

Belly zone

Moisture vapor permeable

Air-permeable

Treat

Manage Education Take quality of resident care and staff development to the next level by empowering your team of caregivers with training and education. Our resources include just-in-time product videos and a library of accredited, clinician-led Continuing Education (CE) courses.

• Education created by clinicians with firsthand knowledge of your questions, challenges and the information that makes a difference as you work toward a solution for each resident in your care

• Clinical support to help you balance improving resident outcomes with maintaining the health of your business

• Product Essentials — tools that empower clinicians to make better informed decisions through data analytics

See the complete course offering at cardinalhealth.com/CE

Cleanse to remove irritants Avoid using soap and water to remove urine or feces; instead, it is recommended to use a pH balanced, no-rinse cleanser after every incontinent episode.7 Cardinal Health™ Rinse-free Perineal Cleanser is free of dyes, fragrances, alcohol, lanolin, phthalates, Q-15 and triclosan.

Perineal cleanser

Item No. Description Size Case qty.

CSC-CLNPR4 Rinse-free perineal cleanser 4 oz. spray 48

CSC-CLNPR8 Rinse-free perineal cleanser 8 oz. spray 12

Protect with a skin barrier Use a barrier cream or ointment to help protect against future occurrences; when applying, pat gently to avoid creating friction on the sensitive skin.7 Our products create a gentle skin barrier without dyes, fragrances, alcohol, parabens, phthalates, triclosan, 1,4-Dioxane and Q-15.

Barrier creams and ointments

Item No. Description Size Case qty.

CSC-CRMBR2 Barrier cream with zinc oxide and dimethicone 2 oz. tube 24

CSC-CRMBR4 Barrier cream with zinc oxide and dimethicone 4 oz. tube 24

CSC-ONTBR2 Barrier ointment with petrolatum 2 oz. tube 24

CSC-ONTBR4 Barrier ointment with petrolatum 4 oz. tube 24

Cleanse, moisturize and protect in one step Choose soft, premoistened wipes that are pH-balanced and ready to use. Our cleansing cloths with dimethicone come in convenient, resealable packs, making it simple to cleanse, moisturize and protect you patients’ at-risk skin.

Incontinence cleansing cloths with dimethicone

Item No. Description Qty.

BTMWPMUD Medium weight, fragrance free, 3.2% dimethicone 3/pack

2AWUD-18 Non-flushable, fragrance free, 3.2% dimethicone 18/pack

2AWUD-42 Non-flushable, fragrance free, 3.2% dimethicone 42/pack

References: 1. Ermer-Seltun, J. Practical prevention and treatment of incontinence associated dermatitis, a risk factor for pressure ulcers. Wound Management & Prevention. Online exclusive. https://www.o-wm.com/content/practical-prevention-and-treatment-incontinence-associated-dermatitis-%E2%80%94-risk-factor-pressure. Published February 2011. Accessed June 17, 2020. 2. Dorner B, Posthauer M, Thomas D, National Pressure Ulcer Advisory Panel. The role of nutrition in pressure ulcer prevention and treatment: National Pressure Ulcer Advisory Panel white paper. Adv Skin Wound Care. 2009 May;22(5):212-221. 3. Ousey K, O’Connor L. Incontinence-associated dermatitis made easy. Wounds UK. 2017 Mar;13(1)1-6. 4. Agency for Healthcare Research and Quality. Preventing pressure ulcers in hospitals. Content last reviewed October 2014. https://www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html. 5. Armstrong DG, et al. New opportunities to improve pressure ulcer prevention and treatment. Adv Skin Wound Care. 2008 Oct;21(10):469-478. 6. Kayser SA, Phipps L, VanGilder CA, Lachenbruch C. Examining prevalence and risk factors of incontinence-associated dermatitis using the International Pressure Ulcer Prevalence Survey. J Wound Ostomy Continence Nurs. 2019;46(4):285-290. 7. Beeckman D. A decade of research on incontinence-associated dermatitis (IAD): evidence, knowledge gaps and next steps. J Tissue Viability. 2017;26(1):47-56.

© 2020 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO, ESSENTIAL TO CARE, BREATHEEASY, WINGS and SKINHEALTH360 are trademarks or registered trademarks of Cardinal Health and may be registered in the US and/or in other countries. 2NP20-1195549 (07/2020).

At Cardinal Health, we believe that skin health is mission critical — and that with the right products, clinical education and support, Nancy’s team of caregivers will have everything it needs to help prevent and treat IAD while safeguarding her dignity.

That’s why we designed the SkinHealth360™ integrated skin platform to leverage educational resources, data analytics and support tools to help improve skin outcomes while providing cost-effective care.

Because with careful, dignified treatment to preserve the skin microbiome, Nancy can continue to happily share stories of her dancing days — and you can continue to help protect and care for residents just like her. For skin. For dignity. For life.

To learn more about the SkinHealth360™ platform, please contact your local Cardinal Health representative or visit cardinalhealth.com/skinmission

Cardinal Health™ SkinHealth360™