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. 2017 May;39(5):643-659.
doi: 10.1177/0193945916666065. Epub 2016 Sep 1.

Prevention of Incontinence-Associated Skin Damage in Nursing Homes

Donna Z Bliss  1 , Olga V Gurvich  1 , Michelle A Mathiason  1 , Lynn E Eberly  2 , Kay Savik  1 , Susan Harms  1   3 , Christine Mueller  1 , Jean F Wyman  1 , Beth Virnig  4
Affiliations

Prevention of Incontinence-Associated Skin Damage in Nursing Homes

Donna Z Bliss et al. West J Nurs Res. 2017 May.

Abstract

Racial/ethnic disparities in preventing health problems have been reported in nursing homes. Incontinence is common among nursing home residents and can result in inflammatory-type skin damage, referred to as incontinence-associated skin damage (IASD). Little is known about the prevention of IASD and whether there are racial/ethnic disparities in its prevention. This study assessed the proportion of older nursing home residents receiving IASD prevention after developing incontinence after admission ( n = 10,713) and whether there were racial/ethnic disparities in IASD prevention. Predictors of preventing IASD were also examined. Four national data sets provided potential predictors at multiple levels. Disparities were analyzed using the Peters-Belson method; predictors of preventing IASD were assessed using hierarchical logistic regression. Prevention of IASD was received by 0.12 of residents and no racial/ethnic disparities were found. Predictors of preventing IASD were primarily resident-level factors including limitations in activities of daily living, poor nutrition, and more oxygenation problems.

Keywords: dermatitis; disparities; incontinence; nursing homes.

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Conflict of interest statement

Conflict of Interests

The authors declare that there is no conflict of interest.

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