How would you describe moisture-associated skin damage?

Moisture-associated skin damage (MASD) is caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, wound exudate, mucus, saliva, and their contents. MASD is characterized by inflammation of the skin, occurring with or without erosion or secondary cutaneous infection.

What are the four types of moisture-associated skin damage?

MASD is the collective term for four types of moisture damage to the skin (IAD, ITD, periwound and peristomal damage). The damage is not caused by moisture alone; chemical irritants, proteolytic and lipolytic enzymes and an alteration in the skin pH all contribute to the destruction of the barrier function of the skin.

What happens if skin is exposed to high levels of moisture?

When exposed to excessive amounts of moisture, the skin will soften, swell, and become wrinkled, all of which make the skin more susceptible to damage. Although traditionally this has been considered as being a specific problem of continence care, it is a common problem encountered in many patient groups.

Can moisture-associated skin damage be full thickness?

Skin tears are caused by shear, friction, or trauma. This results in separation of the skin layers. It usually presents as the epidermis pulled away, resulting in a partial-thickness wound, but in some cases may be full thickness.

What are the different types of moisture associated skin damage?

Moisture-Associated Skin Damage (MASD) 1 Periwound Moisture-Associated Dermatitis. The production of exudate is a normal result… 2 Peristomal Moisture-Associated Dermatitis. 3 Incontinence-Associated Dermatitis. Incontinence-associated dermatitis… 4 Intertriginous Dermatitis. Intertriginous dermatitis (ITD), also referred to as intertrigo,…

What causes peristomal moisture-associated skin damage ( MASD )?

Peristomal Moisture-Associated Dermatitis. Etiology. There are several types of moisture that can cause peristomal moisture-associated dermatitis, including exposure to urine or stool, sweat, wound drainage, or other sources of water such as while bathing or swimming.

What are the symptoms of periwound moisture associated dermatitis?

Symptoms. Periwound moisture-associated dermatitis is marked by erythema (which may be harder to discern in persons with darkly pigmented skin), maceration (white, pale, or gray skin that is softened and/or wrinkled), and irregular or diffuse edges (as opposed to pressure ulcers which typically have distinct edges).

How to tell between moisture associated skin damage and pressure ulcer?

•May be difficult to distinguish between moisture-associated skin damage and pressure ulcer. •Unlike moisture- associated skin damage, a pressure ulcer usually has distinct edges. 10 Moisture Pressure Pressure Ulcers From Other Sources of Pressure