Course intro

This course is ideal for understanding Moisture Associated Skin Damage.

Society of Tissue Viability endorsed

This module has been through rigorous reviews to achieve endorsement from the Society of Tissue Viability, so it can be used with complete confidence. The endorsement confirms that this module provides clinicians with:

  • High-quality education that meets stated learning objectives and outcomes
  • Material that is free from product bias or promotion
  • Education that is evidence-based
  • Education that is fully accessible to members of the general wound care community

Time Required

Estimated time to complete Moisture Associated Skin Damage course: 60 minutes

Learning Outcomes

On completion of this Moisture Associated Skin Damage course, you should be able to:

  • Understand the difference between pressure injuries/ulcers and moisture associated skin damage
  • Identify the different types of moisture associated skin damage
  • Discuss preventative strategies and treatment options for moisture associated skin damage

Pressure damage is not the only way that the skin of the older and immobile patients can become damaged. The presence of moisture in the form of sweat, urine and faeces can cause moisture damage (Beldon, 2008). However, moisture associated skin damage (MASD) is often mistaken for pressure ulcers/injuries, despite the skin damage having distinct causes and treatments (Pagnamenta, 2010).

Wounds on the sacrum are often classified as pressure ulcers without consideration given to other causes. There are several reasons why wounds occur in this area. These are often related to moisture, either from unresolved or poorly managed incontinence, excessive sweating, or wound exudate.

MASD is often frequently reported as a stage/category 2 pressure damage. Impaired skin integrity as a nursing diagnosis can be defined as alteration in the epidermis and/or dermis. The skin is subject to injury from a variety of external and internal factors (Medical dictionary, 2019).

When the skin becomes impaired, it is no longer able to withstand mechanical stress, balance homeostasis, or maintain its immunological function (Moncrieff et al., 2015).

The skin provides the body with an external protective layer. However, this layer is susceptible to damage and trauma from external elements.

The pH of the skin normally stands between 4.4 and 5.5, which is why this protective mechanism is known as the ‘acid mantle’. This is the protective layer that is created by the presence of sebum, which creates a barrier to chemical damage and protects against some types of bacteria (Bianchi, 2012).

MASD is a term incorporating four different types: incontinence-associated dermatitis (IAD), intertriginous dermatitis (ITD), periwound skin damage, and peristomal MASD. (Woo et al., 2017)

For a MASD skin condition to happen, there must be moisture that comes in contact with the skin and remains in constant contact with the body for prolonged periods. (Young, 2017)