T.L.C. for ButtocksT.L.C. for Buttocks

Sensi CareSensi Care®®

This an excellent skin barrier This an excellent skin barrier unless it is used incorrectly. unless it is used incorrectly. It It contains zinc oxide which is important contains zinc oxide which is important in wound healing.in wound healing.

Never spread this on entire Never spread this on entire buttocks. buttocks. It dries excessively and It dries excessively and causes peeling with friction from linen causes peeling with friction from linen or when patient is not lifted properly.or when patient is not lifted properly.

Applied correctly Applied correctly only around anus it only around anus it remains moist enough to protect skin from remains moist enough to protect skin from erosion from diarrhea but will not cause drying erosion from diarrhea but will not cause drying and peeling.and peeling.

Aloe VestaAloe Vesta®® Protective Ointment Protective Ointment

This a skin barrier that also This a skin barrier that also moisturizes. This can be moisturizes. This can be used on entire buttocks to used on entire buttocks to prevent drying and peeling prevent drying and peeling from friction from linen. from friction from linen.

Use PRN incontinence.Use PRN incontinence. First cleanse with ComfortFirst cleanse with Comfort™™

Shield wipes.Shield wipes.

Aloe VestaAloe Vesta®® Antifungal Antifungal This ointment has This ointment has

Miconazole Nitrate 2%. Miconazole Nitrate 2%. Use over rashes in perianal, perineal and Use over rashes in perianal, perineal and

all buttocks areas PRN incontinence.all buttocks areas PRN incontinence. Can also be used under breasts and in Can also be used under breasts and in

armpits. Add gauze to minimize moisture armpits. Add gauze to minimize moisture buildup. buildup.

Take care not to contaminate the Take care not to contaminate the ointment when used in different areas. ointment when used in different areas.

Always change gloves when applying to a Always change gloves when applying to a different area. different area.

Always pour the amount needed on a Always pour the amount needed on a piece of gauze so the spout will not be piece of gauze so the spout will not be contaminated with feces or fungus or contaminated with feces or fungus or other contaminant on your gloves.other contaminant on your gloves.

ComfortComfort™™ Shield Wipes Shield Wipes These are specifically made for These are specifically made for

perineal and perianal areas.perineal and perianal areas. Cleanses, moisturizes, deodorizes Cleanses, moisturizes, deodorizes

and applies a skin protectantand applies a skin protectant These wipes have dimethicone These wipes have dimethicone

which is a skin barrier which which is a skin barrier which protects skin from excessive protects skin from excessive moisture.moisture.

Protects better than regular bath Protects better than regular bath cloths which have no similar cloths which have no similar protective additive for this area.protective additive for this area.

ComfortComfort™™ Bath Cloths Bath Cloths

These are made specifically for These are made specifically for sponge bathing a patient. sponge bathing a patient.

They do not have the dimethicone They do not have the dimethicone and are not recommended for and are not recommended for perianal, perineal incontinence perianal, perineal incontinence care. care.

They do however have a good pH They do however have a good pH fluid and other additives which fluid and other additives which protect skin from excessive drying protect skin from excessive drying therefore is very good for bed therefore is very good for bed baths but not good for constant baths but not good for constant use on the buttocks.use on the buttocks.

Triad PasteTriad Paste™™a Hydrophyllic Wound Dressinga Hydrophyllic Wound Dressing

Contains zinc oxide and can dry Contains zinc oxide and can dry out very much like Sensi Careout very much like Sensi Care®®. .

Any time this is used for wound Any time this is used for wound care it should be covered with a care it should be covered with a dressing unless it is used in a skin dressing unless it is used in a skin fold like a perianal area, under fold like a perianal area, under breasts or abdominal folds.breasts or abdominal folds.

Use when there is scant or small Use when there is scant or small drainage.drainage.

DressingsDressings Use the most appropriate dressing Use the most appropriate dressing

For the size of the wound andFor the size of the wound and The amount of drainage on the woundThe amount of drainage on the wound

AllevynAllevyn◊◊ Adhesive foam for scant to Adhesive foam for scant to moderate drainage large woundsmoderate drainage large wounds Sacral – 6 ¾” x 6 ¾” “heart” shaped foamSacral – 6 ¾” x 6 ¾” “heart” shaped foam 5x5 square foam 5x5 square foam

ReplicareReplicare®® for minimal drainage and for minimal drainage and small wounds. (hydrocolloid)small wounds. (hydrocolloid)

Special dressings as recommended by Special dressings as recommended by WOCNWOCN

Bowel Management System (BMS)Bowel Management System (BMS) When a patient has diarrhea, stool output can be managed by applying When a patient has diarrhea, stool output can be managed by applying

a BMS – Requires a doctor’s order.a BMS – Requires a doctor’s order. Your patients would be more compliant with taking Lactulose if you Your patients would be more compliant with taking Lactulose if you

protected their skin and their schedule with a BMS. (A special stool protected their skin and their schedule with a BMS. (A special stool modification program would have to be ordered by the MD.)modification program would have to be ordered by the MD.)

A patient does not have to stay up all hours going to the bathroom or if A patient does not have to stay up all hours going to the bathroom or if immobile would not need to be cleaned all night.immobile would not need to be cleaned all night.

Assistance applying one can be found in ICU staff.Assistance applying one can be found in ICU staff. Education for application and care of one can be gotten from your Education for application and care of one can be gotten from your

WOCNWOCN Interventions for management of a BMS can be dropped down to your Interventions for management of a BMS can be dropped down to your

Kardex from the Meditech System.Kardex from the Meditech System.