{"id":442,"date":"2011-09-18T01:44:07","date_gmt":"2011-09-18T01:44:07","guid":{"rendered":"http:\/\/thewoundcentre.com\/a\/?p=442"},"modified":"2011-09-18T02:13:56","modified_gmt":"2011-09-18T02:13:56","slug":"incontinence-causes-pressure-ulcers-but-does-it","status":"publish","type":"post","link":"http:\/\/thewoundcentre.com\/a\/442\/incontinence-causes-pressure-ulcers-but-does-it\/","title":{"rendered":"Incontinence causes pressure ulcers&#8230;but does it??"},"content":{"rendered":"<div>Seriously though&#8230;how can incontinence cause a pressure injury (PI) \/ulcer??<br \/>\nIf you &#8216;micro-think&#8217; about this you will see that it makes no sense whatsoever!When a patient is incontinent of urine and \/ or faeces the wettest, soggiest area is the perineum, vulva, penis and testicles&#8230;.isn&#8217;t it?&#8230;not the sacrum and certainly not the heels!<br \/>\nSure the sacrum might get wet and pooey.. <strong><em>BUT<\/em><\/strong> &#8230; it is <strong>not<\/strong> where <em>the<\/em> greatest concentration of gloop is found in the incontinentpatient; the sacrum might get damp&#8230;but so might the symphysis pubis&#8230;both are equidistant from the perineum but I have never seen a Stage 4 PI over the symphsis pubis or abdomen.<\/div>\n<div>Yet people still say that incontinence can cause a PI. If incontinence was a risk factor we&#8217;d see stacks of Stage 4 perineal PI &#8211; more so than on the sacrum&#8230;&#8230;.makes sense?? But in &gt; 20 years of looking at pressure ulcers I have never, ever, seen a perineal pressure ulcer!!!\u00a0\u00a0 Patients get excoriated&#8230;sure&#8230; in the same way that babies get nappy rash&#8230;but neither babies nor toddlers have huge Stage 4 PI inside their nappies&#8230; do they now?!<br \/>\nMany PI risk assessment tools still include incontinence when assessing patients for risk of PI??<br \/>\nI need to hear a good reason why!! Does anyone have any idea why?<\/div>\n<div>Kate<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Seriously though&#8230;how can incontinence cause a pressure injury (PI) \/ulcer?? If you &#8216;micro-think&#8217; about this you will see that it makes no sense whatsoever!When a patient is incontinent of urine and \/ or faeces the wettest, soggiest area is the perineum, vulva, penis and testicles&#8230;.isn&#8217;t it?&#8230;not the sacrum and certainly not the heels! Sure the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-442","post","type-post","status-publish","format-standard","hentry","category-wound-management-articles"],"_links":{"self":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts\/442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/comments?post=442"}],"version-history":[{"count":31,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts\/442\/revisions"}],"predecessor-version":[{"id":460,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/posts\/442\/revisions\/460"}],"wp:attachment":[{"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/media?parent=442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/categories?post=442"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/thewoundcentre.com\/a\/wp-json\/wp\/v2\/tags?post=442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}