Your patients deserve to feel both comfortable and clean. The Cavilon wipe solution consists of two types of wipes: Cleanse and Moisturise

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1 How to use 3M Cavilon Wipes Your patients deserve to feel both comfortable and clean. The Cavilon wipe solution consists of two types of wipes: Daily Total Body Wash Cleanse and Moisturise 3M Cavilon Bathing & Cleansing Wipes For daily bed bathing we recommend one pack of Cavilon bathing & cleansing wipes per patient each day. These wipes offer the convenience of a combined cleanser and skin conditioner in a gentle and quick-drying wipe. Use one wipe for each of the eight body areas and then discard. Do not flush down the toilet. Cavilon bathing & cleansing wipes may be used at room temperature or warmed in a microwave oven (see warming instructions on the pack) Continence Care Cleanse, Moisturise and Protect 3M Cavilon Continence Care Wipes To clean the skin after each incontinence episode we recommend the Cavilon continence care wipes. These wipes offer cleansing, conditioning and protection of the skin. This allows easy implementation of the key elements of a successful Incontinence-Associated Dermatitis (IAD) prevention programme. If additional protection is required Cavilon continence care wipes are compatible with 3M Cavilon Durable Barrier Cream and 3M Cavilon No Sting Barrier Film. Cavilon wipes - Go beyond the Basic Cleansing

2 Ordering Information Available to order via NHS Supply Chain from September M Code Product Description Size Wipes / Pack Packs / Case M Cavilon Bathing & Cleansing Wipes 20 cm x 30 cm (7.8 inch x 11.8 inch) M Cavilon Continence Care Wipes 20 cm x 30 cm (7.8 inch x 11.8 inch) M Cavilon Wipes are made from biodegradable wipe material. References 1. Gray M., Bliss D., Doughty D., Ermer-Seltun J., Kennedy-Evans K.& Palmer M. (2007a) Incontinence-associated dermatitis: a consensus. Journal of Wound, Ostomy, and Continence Nursing 34, Maklebust J, Magnan MA, AdvWound Care. Nov 1994; 7(6):25, 27-8, 31-4 passim 3. Incontinence Associated Dermatitis (IAD): Best Practice for Clinicians. Wound, Ostomy and Continence Nurses Society, Doughty D, et al., Incontinence Associated Dermatitis: Consensus Statements, Evidence Based Guidelines for Prevention and Treatment, and Current Challenges, Journal of Wound, Ostomy and Continence Nursing. 2012; 39(3): Johnson D, Lineweaver L, Maze L, Patients bath basins as potential sources of infection: multicenter sampling study. Am J Critical Care 2009; 18: Knibbe N, et al., LOCOmotion, Ergonomic aspects of washing without water, Lewis-Byers K, Thayer D. Kahl A. An evaluation of two incontinence skin care protocols in long-term care settings. Ostomy Wound Management. 2005; 48 (12): Beeckman D. et al., JWound Ostomy Continence Nurs Marchaim D, et al., Hospital bath basins are frequently contaminated with multi-drug resistant human pathogens. Poster presented at SHEA 21st Annual Scientific Meeting, 2011 April 10. Beeckman D. Van Lancker A. Van Hecke A. Verhaege A. A Systematic Review and Meta- Analysis of Incontinence-Associated Dermatitis, Incontinence, and Moisture as Risk Factors for Pressure Ulcer Development. Research in Nursing & Health 2014 Jun; 37(3): Sibbald R., Campbell K., Coutts P. & Queen D. (2003) Intact skin an integrity not to be lost. Ostomy/Wound Management 49, Newman D., Preston A. & Salazar S. (2007) Moisture control, urinary and faecal incontinence, and perineal skin management. In Chronic Wound Care: A Clinical Source Book for Healthcare Professionals, 4th edn (Krasner D., Rodeheaver G. & Sibbald R., eds), HMP Communications, Malvern, pp Beeckman D., Schoonhoven D., L., Verhaeghe S., Heyneman A. & Defloor T. (2009) Prevention and treatment of incontinence-associated dermatitis: literature review. Journal of Advanced Nursing 65(6), doi: /j x 3M Health Care Limited Critical & Chronic Care Solutions Division 1 Morely Street Leicestershire LE11 1EP Loughborough United Kingdom Phone: Fax: M and Cavilon are trademarks of the 3M Company. 3M All rights reserved. Please recycle. Printed in Germany. GF250

3 3M Cavilon Skin Care Range A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive Issue handled with care A sensitive sensitive A Issue with care handled

4 Go Beyond the Basic Cleansing Do your patients deserve optimal skin care? Skin is an organ that requires protection. It provides protection from mechanical impact, pressure, variation in temperature, micro-organisms and chemical irritation. Traditional bed bathing and the presence of faeces and urine could have a negative impact on these important natural functions of your patients skin. Daily Bed Bathing Washing patients is an important task but also a daily challenge for many nurses. Unfortunately regular cleansing with water and soaps can disrupt the natural acid mantle of the skin and compromise its barrier properties. Also, washcloths and towels can be especially rough, resulting in skin damage and pain. Incontinence-Associated Dermatitis (IAD) When your patients are incontinent their skin is exposed to urine and/or faeces. Urine makes the skin more vulnerable to friction. It also increases its ph and promotes microbial growth. This is often accompanied by IAD which is a common problem in patients with faecal and/or urinary incontinence. 1 The lesions are characterised by erosion of the epidermis and a macerated appearance of the skin 1. Continence issues and skin breakdown related to incontinence have a considerable effect on patients physical and psychological well-being It is a daily challenge for healthcare professionals in hospitals, nursing homes and homecare to maintain healthy skin in patients with incontinence. 12 Pressure Ulcers Your patients with IAD have a higher risk of developing a pressure ulcer. 3 One study has shown that the odds of having a pressure ulcer were 22 times greater for hospitalised adult patients with faecal incontinence compared to hospitalised patients without faecal incontinence, and 37.5 times greater in patients who had both impaired mobility and faecal incontinence. 2 % of patients Nursing Homes Hospitals Urine Faecal IAD Charité University Berlin, August 2012 Prof. Dr. T. Dassen, Dr. J. Kottner e.o Preventing IAD The three essentials of IAD prevention are: Cleanse Moisturise Protect Cleanse the skin: clean the skin routinely and at the time of soiling. Moisturise the skin daily. Protect the skin, apply a moisture-barrier cream or barrier film if the patient has significant urinary or faecal incontinence (or both).

5 The Approved Standard of Care 3M Cavilon Wipes are a new standard of care providing your patients with an optimal way to feel both comfortable, clean and protected. You can gently wash and condition each part of the body and give protection where necessary with a low friction medical wipe. At the same time you will reduce the risk of cross contamination. 3M Cavilon Bathing & Cleansing Wipes Daily Total Body Wash: Cleanse + Moisturise 3M Cavilon Continence Care Wipes Continence Care: Cleanse + Moisturise + Protect Gentle Skin Cleansing and Conditioning Your patient s skin will be protected Evidence suggests that disposable wipes are more effective for prevention of IAD than a skin care regime combining neutral soap and water. 4 The Cavilon continence care wipes contain 3 % dimethicone providing an effective barrier from moisture and body fluids associated with incontinence. The transparent barrier makes your regular skin assessments easy, an important step in pressure ulcer prevention. 3M Cavilon Wipes offer a gentle way to clean and condition delicate skin. The Cavilon wipes are designed for medical situations and are therefore hypoallergenic. The lotion is ph skin-neutral and free from perfumes, soaps, alcohol and colouring agents which could irritate skin. Furthermore, the preservative system does not contain parabens and other potential irritants. Cavilon wipes condition your patients skin with moisturisers. Moisturising helps maintain normal levels of epidermal lipids and support the skin s natural barrier function. 3 Time and cost savings for you and your health care facility Based on studies and practical experience, wipes reduce the time needed to wash immobile patients by 43 %. 6 Use of a no rinse cleanser also saved an average of 9 minutes. 7 Time saved can be used for other important care activities. The procedure will be more cost effective because fewer materials are required such as basins, soap, wash mitts, towels, and warm water. Laundry and logistical costs are also reduced. Infection Control With Cavilon bathing and cleansing wipes you can wash each part of the body with a separate clean wipe. The wipes themselves have been produced in a clean room environment. Normal washcloths and bath basins are known reservoirs of harmful bacteria. 5 With Cavilon wipes you will eliminate the risk of dirty wash basins and spilled water. Low friction compared to traditional washcloths Washcloths and towels can cause friction and feel rough on fragile and at risk skin. Cavilon wipes are soft and gentle to the skin. Wash cloth texture can be rough on skin Cavilon bathing & cleansing wipes are soft and gentle to skin

6 The Evidence Supporting Use of Wipes A 3-in-1 Perineal Care Washcloth Impregnated With Dimethicone 3% Versus Water and ph Neutral Soap 8 Beeckman D. et al., JWound Ostomy Continence Nurs November The research team compared the effectiveness of a 3-in-1 perineal care washcloth versus standard of care (water and ph neutral soap) to prevent and treat incontinence-associated dermatitis (IAD). The product under study was a soft, pre-moistened washcloth, including 3 % dimethicone, with cleansing, moisturising, and barrier protection properties. IAD Severity Score (Max. = 10) Experimental Group Control Group Time Conclusion: A defined (structured) skin care regimen, including the use of a soft pre-moistened washcloth impregnated with a 3 % dimethicone skin protectant, resulted in a significantly reduced prevalence of IAD and a trend toward less severe lesions. This study provides evidence supporting the use of a 3-in-1 perineal care washcloth as more effective than standard care including water and a ph neutral soap for IAD prevention and treatment. FIGURE 1: Graphic representation of the evolution of incontinence-associated dermatitis (IAD) prevalence and severity over time. Link between wash basins and hospital acquired infections Several published studies prove a strong link between the use of wash basins and transfer of pathogens from one patient to another. The hospital environment is increasingly recognised as a reservoir for hospital-acquired pathogens. During a 44-month study period, a total of 1,103 basins from 88 hospitals in the United States and Canada were sampled. Overall, 62.2 % of the basins were contaminated with commonly encountered hospital-acquired pathogens. 9 Link between Incontinence Associated Dermatitis (IAD) and Pressure Ulcers A systematic review and meta-analysis was conducted and concluded that there is an association between IAD, its most important aetiologic factors (incontinence and moisture), and pressure ulcers (PUs). 10