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MASD Part 3: Peristomal Moisture– Associated Dermatitis and Periwound Moisture–Associated DermatitisA Consensus

Colwell, Janice C.; Ratliff, Catherine R.; Goldberg, Margaret; Baharestani, Mona M.; Bliss, Donna Z.; Gray, Mikel; Kennedy-Evans, Karen L.; Logan, Susan; Black, Joyce M.

Journal of Wound, Ostomy and Continence Nursing: September/October 2011 - Volume 38 - Issue 5 - p 541–553
doi: 10.1097/WON.0b013e31822acd95
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Moisture-associated skin damage (MASD) occurs when excessive moisture in urine, stool, and wound exudate leads to inflammation of the skin, with or without erosion or secondary cutaneous infection. This article, produced by a panel of clinical experts who met to discuss moisture as an etiologic factor in skin damage, focuses on peristomal moisture–associated dermatitis and periwound moisture–associated dermatitis. The principles outlined here address assessment, prevention, and treatment of MASD affecting the peristomal or periwound skin.

Janice C. Colwell, MS, RN, CWOCN, FAAN, Advanced Practice Nurse, Department of General Surgery, University of Chicago, Chicago, Illinois.

Catherine R. Ratliff, PhD, APRN-BC, CWOCN, Associate Professor and Nurse Practitioner, Department of Plastic and Reconstructive Surgery and School of Nursing, University of Virginia, Charlottesville.

Margaret Goldberg, MSN, RN, CWOCN, Wound Care Consultant, Delray Wound Treatment Center, Delray Beach, Florida.

Mona M. Baharestani, PhD, APN, CWON, FAPWCA, FACCWS, James H. Quillen Veterans Affairs Medical Center, Wound Care Program Coordinator and Clinical Associate Professor, Quillen College of Medicine, Department of Surgery, East Tennessee State University, Johnson City, Tennessee.

Donna Z. Bliss, PhD, RN, FGSA, FAAN, Professor, School of Nursing, University of Minnesota, Minneapolis.

Mikel Gray, PhD, CUNP, CCCN, FAANP, FAAN, Professor and Nurse Practitioner, Department of Urology and School of Nursing, University of Virginia, Charlottesville.

Karen L. Kennedy-Evans, RN, CS, FNP, KL Kennedy, LLC, Tucson, Arizona.

Susan Logan, BSN, RN, CWS, FACCWS, Kindred Healthcare, Inc, Louisville, Kentucky.

Joyce M. Black, PhD, RN, CPSN, CWCN, FAPWCA, FAAN, Associate Professor, College of Nursing, University of Nebraska Medical Center, Omaha.

Correspondence: Janice C. Colwell, MS, RN, CWOCN, FAAN, Department of General Surgery, University of Chicago, 5841 S Maryland Ave, MC6043, Chicago, IL 60637 (janice.colwell@uchospitals.edu).

Copyright © 2011 by the Wound, Ostomy and Continence Nurses Society