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P19 - Pads vs. Briefs: Which Is Best for Skin?

Purpose: In adult incontinent patients, how does not using adult incontinence briefs compare with the use of adult incontinence briefs affect moisture-associated skin damage within the hospitalized community?

It was found on a medical-surgical unit that patients who were using briefs have an increased incidence of moisture-associated skin damage. There was no correlation to severity of diagnoses or level of care needed. This prompted the project.

Research: Evidence appraisal via the 2017 Johns Hopkins Model. Pub Med and Ovid were searched using the search terms moisture-associated skin breakdown, briefs vs. ads, pads, briefs, from 1994 until present. A total of 8 articles were used. 7 of the articles were level-three quality B or higher. The remaining article was level V, quality B.

Research recommendations: Practice change with incontinent patients was implemented to no longer use briefs while patients were in bed or in the chair greater than 2 hours. Incontinent patients were only briefed with ambulation.

Results/conclusions: Overall, by not using briefs while in the bed or chair, our data shows that patients had an improvement in their skin integrity. The total number of MASD patients with the intervention decreased by 68% with the intervention of using pads only.