General purpose: To review best practices related to the assessment of irritant contact dermatitis due to fecal, urinary, or dual incontinence (ICD-FIUIDI) among patients with darkly pigmented skin.
Target audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.
Learning objectives/outcomes: After participating in this educational activity, the participant will:1. Identify risk factors for the development of ICD-FIUIDI.2. Describe clinical features and manifestations of ICD-FIUIDI.3. Propose recommendations to improve care related to ICD-FIUIDI.
Irritant contact dermatitis due to fecal, urinary, or dual incontinence (ICD-FIUIDI) is a prevalent problem. Inspection of darkly pigmented skin may miss the signs of inflammation of ICD-FIUIDI, resulting in further skin damage and health disparities. In this article, the authors describe best practices for assessing ICD-FIUIDI in the context of diverse skin types using inspection, interview, health record review, and palpation to develop a plan of care; review ICD-FIUIDI prevention and treatment; and include case examples illustrating the application of these methods. The authors also summarize the epidemiology of ICD-FIUIDI and the basis of skin color and inflammation and discuss issues in practice related to the need to improve assessment of ICD-FIUIDI among patients with darkly pigmented skin. They make recommendations for current practice and future research.
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