17.11 Liquid barrier cream and film

See also 13.2.2 for barrier preparations

Click here for Appropriate selection and use of barrier creams and films and Barrier Products, Guidance for Prescribing and Use

Increased moisture resulting from episodes of incontinence combined with bacterial and enzymatic activity can result in the breakdown of vulnerable skin. Incontinence associated dermatitis is a skin condition that affects people who are incontinent and results in inflamed, excoriated, infected and damaged skin that causes pain, discomfort and increases the risk of pressure ulcers.

Medi Derma-S® and Medi Derma-Pro® can be used in conjunction with continence products.

The diagnosis of a pressure ulcer is more difficult than one assumes and there is often confusion between a pressure ulcer and a skin moisture lesion that is caused by the presence of moisture due to for example incontinence. The treatment strategies vary and the consequences of the outcome for the patient are of immense importance.

Medi Derma-S® Cream
  • Barrier cream 28g (£2.98), 90g (£5.95)
  • Barrier cream 2g sachet (£5.85 = 20 sachets)

Indication

  • Use on healthy skin for protection
  • Use on reddened and mildly excoriated skin

Notes

  1. Medi Derma-S® Barrier Cream is useful when used in very small amounts (apply in pea-sizes amounts only) to increase the adhesion of film dressings, besides its use as a protective barrier.
  2. Highly concentrated so a little goes a long way
  3. For the prevention of skin breakdown from incontinence dermatitis
  4. Non-petrolatum based so will not clog or reduce the absorbency of incontinence pad
  5. Resists wash-off – no need for frequent application, saving time
  6. Can be used in very small amounts when adhesive dressings or tapes are being used as does not decrease dressing or tape adhesion; use of excessive quantities however may prevent effective adhesion
  7. Hypoallergenic and pH balanced
  8. Can also be used in small amounts on peri-wounds and peri-stomal surfaces to prevent breakdown but barrier film is normally better for this indication
  9. Where skin is severely excoriated and broken use Medi Derma-Pro® Ointment
Medi Derma-S® Film
  • Non-sting barrier film pump spray 30ml, 50ml (£5.35, £8.95)
  • Non-sting barrier film applicator 1ml (£3.70 = 5), 3ml (£5.95 = 5)

Indication

  • As a primary barrier against irritation from bodily fluids
  • Prevention of skin damage associated with incontinence
  • Use on severely excoriated skin.
  • Use as skin protection to wound edges in moderate to heavily exuding wounds

Notes

  1. Barrier film is a liquid intended for use as a film forming product. The spray and foam applicator should be used sparingly or the residue build-up can resemble a skin disorder.
  2. Barrier film skin coverage:
    1. 1ml foam applicator covers 15 x 15cm
    2. 3ml foam applicator covers 25 x 25cm
  3. Film should last 48-72 hours, but needs re-applying after each stoma or adhesive dressing change.
Medi Derma-Pro® Foam and Spray Cleanser
  • Foam & spray incontinence cleanser 250ml (£5.95)

Indication

  • Removal of urine and faeces following episodes of incontinence
  • Breakdown and removal of stubborn dried bodily fluids, such as faeces and blood, post-operative antiseptic cleansing solutions and skin barrier protectants
  • Use on severely excoriated skin, can be used on broken skin.

Notes

  1. May be used prior to the application of Medi Derma-Pro® Ointment, where clinically indicated. Does not require rinsing prior to applying the ointment.
  2. Suitable for use on Paediatric patients
  3. Do not use with adhesive dressings or appliances.
  4. Can be used in a foam or spray mode, depending on area of use
  5. Foam mode is indicated for use on difficult to clean areas
Medi Derma-Pro® Ointment
  • Skin protectant ointment 115g (£8.50)

Indication

  • Protection of intact, injured and at-risk skin from severe irritation due to incontinence

Notes

  1. Fragrance and latex free
  2. Provides protection from urine, faeces and incontinence associated dermatitis, may provide protection from friction and shearing forces
  3. Can be applied over fungal creams required to treat skin infections to ensure they remain in contact with the skin and protection is still provided
  4. Non-Sting formulation, pain free application
  5. Suitable for use on Paediatric patients
  6. Do not use with adhesive dressings or appliances.

 

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