Continence and skin integrity in adults 

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Continence and skin integrity in adults 

Karen Ousey, Millie Baker Gardiner, Jacqui Fletcher, Patricia Idensohn, Martha Williams, Sue Woodward, Poppy Elsegood
4 November 2025

In June 2025, a multidisciplinary panel of experts met virtually to explore the intricate relationship between adult continence care and skin integrity. Central to the discussion was the need to challenge prevailing stigma around continence and highlight the positive impact that effective management can have on maintaining healthy skin.

Although continence care and skin integrity are frequently linked to nursing, it is crucial to recognise that this is a shared responsibility and is relevant to many healthcare professional groups, including physiotherapists, occupational therapists, healthcare assistants, and pharmacists (Association for Continence Professionals, 2023). Specialists involved in continence care may also include urologists, gynaecologists, gastroenterologists and colorectal surgeons. Continence and skin integrity encompasses multiple care settings, from hospital and community care to care homes and domiciliary environments, where individuals are supported by carers in their own residences.

This Wounds UK document explores the impact of skin damage associated with continence issues on an adult’s mental health and overall quality of life. It draws attention to the interplay between physical care, psychological wellbeing, and broader sustainability considerations, and addresses the following key areas:

  • Overview of incontinence
  • Causes and understanding of moisture-associated skin damage  and incontinence-associated dermatitis 
  • Timely and accurate assessment of incontinence and skin health
  • Effective strategies for continence management
  • Conducting comprehensive skin assessments
  • Preventing and managing incontinence associated dermatitis 
  • The Three Pillars of Sustainability: Environmental, Social, and Economic Perspectives

All guidance is based on best available current literature, local/national initiatives and expert opinion.

Karen Ousey, Chair

Download the PDF below to access the full Best Practice Statement

Disclaimer: This document has been developed by Wounds UK and is supported by an unrestricted educational grant from Essity Ltd.
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