For example, they are not found over a bony prominence and can occur in areas of low pressure. They do not follow the same pattern as pressure ulcers. Clearly these are very different management options.Ĭlinically, separate identification of moisture lesions makes sense.
#Cut in buttocks near sacrum skin#
To prevent moisture damage, the most important factor is keeping the skin clean, dry and well hydrated. To prevent pressure damage, the most important factor is to reduce or relieve pressure. This view is supported by Doughty (2005) who highlighted that accurate identification of causative factors is critical to effective skin care as good management begins with the correction of causative factors. It was felt that this lack of differentiation inflated the number of pressure ulcers and led to inappropriate management. It was apparent from many of the photographs of pressure ulcers reviewed during this process that a large proportion of the wounds identified as examples of grade 2 pressure damage were not ‘real’ pressure ulcers but lesions related to moisture and, possibly, friction. This followed the work of a small working party which was reviewing the EPUAP pressure ulcer grading system (EPUAP, 1999).
The European Pressure Ulcer Advisory Panel (EPUAP) first proposed that moisture lesions should be differentiated from pressure ulcers in 2005 (Defloor et al, 2005). This means that patients do not receive interventions to resolve or reduce the problems caused by moisture. Unfortunately, the symptoms of incontinence are often managed with pads rather than the cause of the incontinence being investigated.
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