Nursing Abstract: Bye Bye Barrier Creams
Introduction: The 100-bed rehab facility routinely receives patients with rehab needs, such as stroke, ortho, and spinal cord patients, as well as decondition patients who have suffered from acute illness, such as Covid-19. For these patients, the facility offers them rehab services that require them to reside in the facility for between 14 and 21 days. It is not unusual for the inpatients at the facility to develop moisture associated dermatitis, intertriginous dermatitis, and moisture-friction damage. For these skin problems, the facility has typically used traditional barrier creams. However, it is anticipated that replacing the traditional barrier creams with Cavilon for rehab inpatients would result in better skin care outcomes. Abstract Barrier Creams Essay Discussion Paper
Significance: The facility has advocated for the use of Cavilon over traditional barrier creams, noting that while Cavilon can be applied by unlicensed persons, other barrier creams must only be applied by licensed personnel. Assessment for patient eligibility to use Cavilon is determined by Braden scores, in which patients with a score of 18 or less are eligible. At this low Braden scores (18 or less), it is expected that the risk of skin breakdown would increase. The use of Cavilon is reported as a moisturized that treats and prevents minor skin irritations, itchy skin, scaly skin, rough skin and dry skin. In fact, it is perceived as an emollient that softens and moisturizes the skin while decreasing flaking and itching. It works by forming an oily layer on top of the skin to trap water in the skin (James et al., 2020).
Application: The facility has developed a Cavilon application protocol. Cavilon application is conducted in conjunction with traditional off-loading and incontinent care to ensure the best results. Cavilon cannot be applied in conjunction with other traditional barrier creams. Also, the application is accompanied by a 30 to 60 second drying period. Patients who qualify for Cavilon use must have a Braden score of 18 or less. Patients at the facility undergo skin assessment at admission, and continue to undergo assessments weekly. The patients who have skin impairment under one assessment weekly, either on Tuesday or Friday. The patients without skin impairment under two assessments weekly, on Tuesday and Friday.
Expected results: In using Cavilon, there is an expectation that the applicator is not restricted to nurses, so that nurses have more time for other health care tasks. Besides that, Cavilon has a 7-day wear time, thus making it a long acting barrier cream. This is unlike other traditional barrier creams that must be applied after each incontinent episode.
Use reviews: The use of Cavilon has received positive reviews from the patients. Firstly, it does not saturate briefs, or at least not as much as saturation reported when using traditional barrier creams. Secondly, Cavilon is clear and does not leave any residue on clothing. In fact, the patients report that traditional barrier creams leave a residue on cloths. Thirdly, it is resistant to wash off, thus eliminating the need to frequently reapply Cavilon. Fourthly, it is hypoallergenic such that it is unlikely to cause an allergic reaction to the patient. This means that patients who have allergies can use Cavilon as it does not trigger an allergic reaction (James et al., 2020). Fifthly, it is economical and causes a reduction in overall care costs. Long-term use reveals that it is less expensive when compared to traditional barrier creams. Finally, Cavilon is more effective as a barrier cream when compared to other traditional barrier creams (Shaw et al., 2015).
In addition, Cavilon has received positive reviews from nurses and other medical personnel. Firstly, Cavilon can be applied by unlicensed persons, thus allowing personnel to have more time for other activities. Also, this means that application time is not delayed if the attending licensed personnel are busy with other activities. Secondly, Cavilon has a long active life after application. This means that it does not have to be applied as often as other traditional barrier creams. Thirdly, it is durable and concentrated so that it remains active for long. Fourthly, it allows dressings and tapes to adhere so that it does not interfere with other care efforts on the skin. This allows medical personnel to continue with other care efforts (Oakley, 2017).
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Barriers: Although Cavilon has received positive reviews from patients and medical personnel, there are concerns that these advantages can only be realized if the inherent barriers are addressed. Towards this end, three barriers can be identified. Firstly, Cavilon can be applied by unlicensed persons. However, the applicator must be trained to ensure correct application and that it has enough drying time (between 30 and 60 seconds). Secondly, there is a need for application documentation to monitor its use. This means that the persons applying Cavilon must be trained on how to maintain the documentation to ensure that the right information is presented in the right format. Thirdly, the use of Cavilon involves a change and getting medical personnel to buy into the change can be a challenge. The medical personnel have established workflow and could be resistant to changes that interfere with the workflow as may be the case with the change from traditional barrier creams to Cavilon. The resistance to change becomes more apparent when the medical personnel perceive traditional barrier creams to be effective, and are informed to change to using Cavilon whose effectiveness is unknown and for which they do not have much experience (Christenbery, 2017). Abstract Barrier Creams Essay Discussion Paper
Cavilon was initiated in our 100 bed rehab facility as a counter against moisture associated dermatitis, intertriginous dermatitis, moisture-friction damage. The facility offers inpatient rehab services with patients residing in the facility for between 14 and 21 days. In addition, the facility receives stroke, ortho, and spinal cord patients, as well as decondition patients who have suffered from acute illness, such as Covid-19. The facility has advocated for the use of Cavilon over traditional barrier creams, noting that while Cavilon can be applied by unlicensed persons, other barrier creams must only be applied by licensed personnel. As a result, the facility uses Cavilon in its prevention program.
The use of Cavilon at the facility is informed by Braden scores, in which a score of 18 or less makes a patient eligible for Cavilon use. At this low Braden scores (18 or less), it is expected that the risk of skin breakdown would increase with lower scores. In using Cavilon, there is an expectation that the applicator is not restricted to nurses, so that nurses have more time for other health care tasks. Besides that, Cavilon has a 7-day wear time, thus making it a long acting barrier cream. This is unlike other traditional barrier creams that must be applied after each incontinent episode.
The use of Cavilon is reported as a moisturized that treats and prevents minor skin irritations, itchy skin, scaly skin, rough skin and dry skin. In fact, it is perceived as an emollient that softens and moisturizes the skin while decreasing flaking and itching. It works by forming an oily layer on top of the skin to trap water in the skin (James et al., 2020).
The facility has developed a Cavilon application protocol. Cavilon application is conducted in conjunction with traditional off-loading and incontinent care to ensure the best results. Cavilon cannot be applied in conjuction with other traditional barrier creams. Also, the application is accompanied by a 30 to 60 second drying period. Patients who qualify for Cavilon use must have a Braden score of 18 or less. Patients at the facility undergo skin assessment at admission, and continue to undergo assessments weekly. The patients who have skin impairment under one assessment weekly, either on Tuesday or Friday. The patients without skin impairment under two assessments weekly, on Tuesday and Friday.
The use of Cavilon has received positive reviews from the patients. Firstly, it does not saturate briefs, or at least not as much as saturation reported when using traditional barrier creams. Secondly, Cavilon is clear and does not leave any residue on clothing. In fact, the patients report that traditional barrier creams leave a residue on cloths. Thirdly, it is resistant to wash off, thus eliminating the need to frequently reapply Cavilon. Fourthly, it is hypoallergenic such that it is unlikely to cause an allergic reaction to the patient. This means that patients who have allergies can use Cavilon as it does not trigger an allergic reaction (James et al., 2020). Fifthly, it is economical and causes a reduction in overall care costs. Long-term use reveals that it is less expensive when compared to traditional barrier creams. Finally, Cavilon is more effective as a barrier cream when compared to other traditional barrier creams (Shaw et al., 2015).
In addition, Cavilon has received positive reviews from nurses and other medical personnel. Firstly, Cavilon can be applied by unlicensed persons, thus allowing personnel to have more time for other activities. Also, this means that application time is not delayed if the attending licensed personnel are busy with other activities. Secondly, Cavilon has a long active life after application. This means that it does not have to be applied as often as other traditional barrier creams. Thirdly, it is durable and concentrated so that it remains active for long. Fourthly, it allows dressings and tapes to adhere so that it does not interfere with other care efforts on the skin. This allows medical personnel to continue with other care efforts (Oakley, 2017).
Although Cavilon has received positive reviews from patients and medical personnel, there are concerns that these advantages can only be realized if the inherent barriers are addressed. Towards this end, three barriers can be identified. Firstly, Cavilon can be applied by unlicensed persons. However, the applicator must be trained to ensure correct application and that it has enough drying time (between 30 and 60 seconds). Secondly, there is a need for application documentation to monitor its use. This means that the persons applying Cavilon must be trained on how to maintain the documentation to ensure that the right information is presented in the right format. Thirdly, the use of Cavilon involves a change and getting medical personnel to buy into the change can be a challenge. The medical personnel have established workflow and could be resistant to changes that interfere with the workflow as may be the case with the change from traditional barrier creams to Cavilon. The resistance to change becomes more apparent when the medical personnel perceive traditional barrier creams to be effective, and are informed to change to using Cavilon whose effectiveness is unknown and for which they do not have much experience (Christenbery, 2017).
Need Nursing Abstract
(just giving a little background information)
Abstract should be based on the benefits of Cavilon Skin Protectant (By 3m). Cavilon was initiated in our 100 bed rehab facility due to moisture associated dermatitis, intertriginous dermatitis, moisture-friction damage. We general rehab our patients for 14-21 days. We receive stroke, ortho, spinal cord, and the deconditioned patient due to an acute illness, such as Covid patients. This product has taken place of traditional barrier creams. Several barrier creams have to be applied by licensed personnel, but Cavilon can be applied by any unlicensed team member. This product is currently used for our prevention program. It is based on a Braden score of 18 or less for eligible application. The Braden dictates the increased risk of skin breakdown. Cavilon was initiated because it allows nurses more time for other task of taking care of the patient. It has a 7 day wear time and does not have to be applied after each incontinent episode as traditional creams. Our protocol is for it to be applied for Braden score 18 or less on Admission, once weekly on a Tuesday or Friday if the patient does have any skin impairment and twice weekly on Tuesday and Friday if the patient has skin impairments. This product is used in conjunction with traditional off-loading and incontinent care. Barrier creams cannot be utilized with Cavilon. After application product must dry 30-60 sec.
The patients like this product because it doesn’t have there briefs saturated like the traditional barrier cream. Its clear and does not leave residue if the patient is wearing there personal undergarments.
The nursing staff like this product because anyone can apply the product, techs, nurses, and therapist. They also enjoy that the product doesn’t have to be applied so often.
Barriers to the benefits of Cavilon: Education of the staff. Ensuring that the product is applied correctly and given dry time (30-60 sec). Adequate documentation of application of the product. Getting nursing staff to bye in. Some of the vetted nursing staff prefer traditional creams. Other Barriers: Getting physicians on board to discontinue barrier because they cannot be used with Cavilon skin protectant.
Abstract Barrier Creams Essay Discussion Paper