Traditional soap and some cleansers require water to rinse but PROSHIELD ◊ Foam and Spray Skin Cleanser requires no rinsing (Flynn and Williams, 2011; Ling, 2011; Wall and Vernon, 2016) or the use of a separate moisturiser when used with PROSHIELD ◊ PLUS Skin Protectant and therefore has the potential to reduce the number of steps needed in the skin care regimen of a person with incontinence. Sign up for marketing updates to stay connected with information about S+N and topics around your areas of interest. You can update your preferences any time PROSHIELD® PLUS is a unique skin protectant that offers protection and adherence qualities that rival products with zinc oxide, but is as easy to apply and remove as petrolatum-based products. For the care of intact or injured skin associated with PROSHIELD PLUS Skin Protectant range is formulated for use as part of a skin care regime against moisture-related skin damage such an incontinence-associated dermatitis (IAD) and pressure ulcers on both intact & injured skin. 1-5 For best results, PROSHIELD PLUS should be used with PROSHIELD Foam & Spray, according to your established skin care protocol. Want to know more about PROSHIELD PLUS?

PROSHIELD® FOAM & SPRAY is a no-rinse incontinent and total-body cleanser and moisturizer. Its surfactant ingredient, Poloxamer 188, cleans skin without drying it out, while its solubilizer breaks down dried stool without the need for scrubbing. PROSHIELD Plus Skin Protectantshould be gently smoothed over the area of intact or injured skin; do not rub in as this may cause friction. The product will leave a visible barrier on the surface of the skin and is suitable for daily use. Answers to frequently asked questions A reduced number of steps in the skin-care regimen of a patient following an episode of incontinence Skin care products are known to commonly cause an allergic or immune response, and it is usually ingredients such as perfumes and preservatives that are the cause (Penzer et al, 2012). PROSHIELD ◊ PLUS Skin Protectant is a smooth, transparent*, viscous and fragrance-free ointment that does not contain any of the common allergens. Its transparency* is beneficial since it allows for skin observation and assessment (Smith & Nephew, 2019b,c,d). Smith & Nephew (2019c) Verification Testing Report of Usability and Transparency for PROSHIELD Plus Skin Protectant. U/064/R1

Flynn and Williams (2011) undertook a small user evaluation in an elderly group of patients who had skin damage following incontinence. They found using PROSHIELD ◊ Skin Care in conjunction with effective pressure ulcer prevention and management resulted in improved skin condition. PROSHIELD Foam & Spray Cleanser: Gentle, pH-balanced and rinse-free, which eliminates the need to scrub delicate tissue 1-3,6,7 Flanagan M (2020) Incontinence-associated dermatitis 2: assessment, diagnosis and management. Nurs Times [online] 116(4): 40-44 Howers L, Boyett F (2012) Evaluation of Proshield Plus in nursing homes for inclusion onto formulary in a healthcare trust. Wounds UK poster presentation. Harrogate, UK

The PROSHIELD Skin Care range is formulated for use on both intact and injured skin as part of a skin care regime against moisture-related skin damage, such as incontinence-associated dermatitis (IAD). 1-5 We do our best to keep our delivery prices fair, and we only charge you what the courier services are charging us. Shah S, Cornell M, Ward AJ (1995) Evaluation of moisture through skin protectant barriers by paper chromatography. Adv Skin Wound Care 8(4): 20–27European Commission. Glycerin. In: Database CIS ed. http://ec.europa.eu/growth/tools-databases/cosing/index.cfm?fuseaction=search.details_v2&id=34040 European Commission, 2019. In summary, the main advantages of PROSHIELD ◊ Foam and Spray Skin Cleanser and PROSHIELD ◊ PLUS Skin Protectant are: PROSHIELD is the number one skin care system for intact and injured skin associated with incontinence and is a trusted choice of Healthcare Professionals

Hoggarth A, Waring M, Alexander J, Greenwood A, Callaghan T (2005) A Controlled, Three-Part Trial to Investigate the Barrier Function and Skin Hydration Properties of Six Skin Protectants. Ostomy Wound Manage 51(12): 30-42 Ling (2011) found in a small evaluation of nine patients that the use of PROSHIELD ◊ Skin Care led to a rapid improvement in skin condition, a reduction in odour and patient reported pain and general improvement in the patient’s quality of life. Both products are safe and effectiveFor best results, store at room temperature below (below 25°C) in a dry place. Avoid extreme heat. Do not freeze Skin that is not protected is at risk of damage and breakdown – incontinence associated dermatitis (IAD)Smith and Nephew (2019b) Verification Testing Report of Usability and Transparency for PROSHIELD PLUS Skin Protectant. U/064/R3 Cavilon™ Durable Barrier Cream is durable and resists wash-off so only needs to be applied ‘night and day’ The efficacy of PROSHIELD ◊ Skin Care when used on intact or injured skin was confirmed in an audit of ten patients with moisture lesions due to IAD (Meuleneire, 2010). The clinicians found it very easy to remove the ointment with PROSHIELD ◊ Foam and Spray Skin Cleanser. When PROSHIELD ◊ Foam and Spray Skin Cleanser and PROSHIELD ◊ PLUS Skin Protectant are used together they can help to prevent and protect the skin from IAD and moisture lesions and reduce the incidence of moisture lesions in people with IAD (Meuleneire, 2010; Flynn and Williams, 2011; Ling, 2011; Maxwell and Sinclair, 2012; Wall and Vernon, 2016).

Proshield Plus Skin Protectant isa smooth and fragrance-free moisture barrier,to protect and maintain skin integrity from exposure to faeces and urine. Safe and effective for the management of moisture-related skin damage. Ling L (2011) Proshield skin care protective system: A sequence of evaluations. Wounds UK poster presentation. Harrogate, UK Proshield Plus Skin Protectantshould be gently smoothed over the area of intact or injured skin; do not rub in as this may cause friction.Meuleneire F (2010) A new solution in the treatment of moisture lesions. European Pressure Ulcer Advisory Panel (EPUAP) poster presentation. Birmingham, UK: 1-3 September Maintains skin integrity by protecting skin from exposure to faeces, urine and bodily fluids including sweat and perspiration PROSHIELD ◊ Foam and Spray Skin Cleanser has been formulated to be pH balanced and so maintains normal skin pH during use (Smith & Nephew, 2019a). Smith & Nephew (2019d) Review of Certificate of Analysis for PROSHIELD Plus Skin Protectant. RD.19.016