NHS England (2018) Excellence in continence care: Practical guidance for commissioners, and leaders in health and social care. Available online: https://www.england.nhs.uk/wp-content/uploads/2018/07/excellence-in-continence-care.pdf 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. For severe incontinence/diarrhoea, Best Practice Guidelines recommends thorough cleansing and reapplication to be carried out after each incontinent episode Proshield Plus Skin Protectantshould be gently smoothed over the area of intact or injured skin; do not rub in as this may cause friction. 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

PROSHIELD Foam and Spray Skin Cleanser is ideal for cleansing skin exposed to body fluids. It removes, urine, faeces,dried blood and barrier products and requires no rinsing. European 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. Flanagan M (2020) Incontinence-associated dermatitis 2: assessment, diagnosis and management. Nurs Times [online] 116(4): 40-44 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

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PROSHIELD Foam & Spray Cleanser: Gentle, pH-balanced and rinse-free, which eliminates the need to scrub delicate tissue 1-3,6,7 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

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 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). Maintains skin integrity by protecting skin from exposure to faeces, urine and bodily fluids including sweat and perspiration 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 Smooth and fragrance-free moisture barrier *6,7 to protect and maintain skin integrity from exposure to faeces and urine 1,2,4Moisturises and conditions the skin 8,9 with a visible, transparent sheen to facilitate monitoring *10 A 2-in-1, non-greasy, moisturising emollient cream containing natural oatmeal. SLS, fragrance and paraben free. 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. Ling L (2011) Proshield skin care protective system: A sequence of evaluations. Wounds UK poster presentation. Harrogate, UK Cavilon™ Durable Barrier Cream is durable and resists wash-off so only needs to be applied ‘night and day’

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. A structured skin care regimen is a fundamental part of caring for patients with IAD (Woo et al, 2017), and products that reduce the suffering of patients and simplify care are advantageous. 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. Smith & Nephew (2019a) Review of Certificate of Analysis for Proshield Foam & Spray Incontinence Cleanser. RD/19/024

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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 Some barrier creams are readily washed from the skin and need to be re-applied after every episode of incontinence