Advanced Skin Care Solutions

For Cellular Health of Periwound Skin

Cream to apply on peri-wound skin to:

  1. Avoid skin damage
  2. Prevent Dehydration
  3. Avoid Ischemic skin formation
  4. Relief pain
  5. Improve skin vascularity
  6. Revives skin and subcutaneous cells and tissues.

Designed for All Skin Types & Patients with Autoimmune Conditions

Skin management is just as important as wound bed preparation in wound healing. The goal of periwound management is to maintain an optimal moist wound healing environment while preventing skin breakdown and infection. Skin is more vulnerable in patients with certain comorbidities and conditions.

Periwound skin breakdown is just one of the culprits that delay wound healing and increase pain. It is important to identify conditions and risk factors early in your wound assessment to help prevent any risk of wound progress declination.

A patient’s quality of life is already compromised when a wound develops, and complications such as periwound skin damage can be avoided. One must take into consideration that every patient with a wound is vulnerable to further skin breakdown.

Avoid All Four Categories of Moisture-Associated Skin Damage With VeroMed+

The Four Categories of Moisture-Associated Skin Damage are:

  1. Incontinence-associated dermatitis (IAD): Inflammation and skin erosion associated with exposure to urine and/or stool.
  2. Intertriginous dermatitis: Intertrigo is skin-skin or skin-to-device inflammation related to perspiration, friction, or bacterial and/or fungal bioburden.
  3. Periwound moisture-associated dermatitis: Wound exudate that has sustained contact with the skin and caused damage. Inflammation and erythema to skin with or without erosion.
  4. Peristomal moisture-associated dermatitis: Inflammation surrounding a stoma resulting from sustained contact with stool or urine.

Periwound Assessment

The wound assessment should include the periwound and surrounding skin, extending 4cm from the wound bed. Assessing wound location, shape, color, edges, margins, periwound, and surrounding skin is most significant in a thorough wound evaluation. The periwound and wound margins are good indicators for identifying the wound type, infection, and moisture balance and for managing the plan of care.

A periwound assessment is similar to the wound assessment; however, it is helpful to keep a few more key factors in mind:

  • Periwound temperature
  • Exudate amount
  • Wound location
  • Periwound shape
  • Periwound color
  • Wound depth

Periwound Characteristic Terms

  • Abscess: Collection of fluid within tissue that is a result of an acute or chronic localized infection.
  • Erosion: Loss of some or all of the epidermis.
  • Epibole: Wound edge that is thickened and rolled under.
  • Hyperkeratosis: Callous-like tissue formation at wound edges that can extent around wound.
  • Induration: Firmness of tissues.
  • Crepitus: Air or gas accumulation in tissues.
  • Pitting edema: Fluid in tissue that can be indented.
  • Non-pitting edema: Fluid in tissue under skin that is taut and shiny and cannot be indented.
  • Secondary cutaneous infection: Most often candidiasis.
  • Maceration/denuded: Both of these terms mean inflammation and erosion of the skin caused by prolonged exposure to various sources of moisture, including urine or stool, perspiration, exudate, ostomy effluent, mucus, and saliva. Otherwise known as moisture-associated skin damage (MASD), this is based on chemical content of moisture, friction, and the presence of pathogens.

Periwound Skin Breakdown Prevention and Management

Any break in the skin is at risk for periwound breakdown and/ or complications. Prevention, treatment with appropriate dressings, and managing the periwound regularly will ensure that wound healing progress is moving toward the goal of wound closure.

For more information please contact info@veroderm.com