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Everyday Skincare Routines to Prevent Skin Damage With Incontinence

Skincare Despina Moshopoulos
Everyday Skincare Routines to Prevent Skin Damage With Incontinence

Everyday Skincare Routines to Prevent Skin Damage With Incontinence

Incontinence-Associated Dermatitis (IAD) is a skin condition that is primarily present in those who experience bladder and bowel control problems. It’s estimated that 42%-45% of people with incontinence in Australia experience IAD. IAD is caused by prolonged exposure to urine and stool which causes maceration (soggy skin), inflammation and erosion.  

Daily skincare plays a vital role in managing Incontinence-Associated Dermatitis (IAD), as it helps both prevent and treat skin damage caused by prolonged exposure to urine and faeces. IAD is a moisture-related skin condition that can lead to inflammation and breakdown of the skin if not properly addressed. A consistent routine — focused on cleansing, moisturising and protecting the skin — helps interrupt this cycle, reduce discomfort, and lower the risk of infection.

This blog will outline a practical guide on everyday skincare routines to help prevent and heal incontinence-associated skin damage. 

Understanding the Causes and Effects of Incontinence on Skin Health

Incontinence can have a significant impact on skin health, particularly for care recipients who rely on support with daily hygiene. When the skin is exposed to urine or faeces for extended periods, it becomes vulnerable to damage commonly known as incontinence-associated dermatitis (IAD). Without proper care, this condition can develop quickly and lead to discomfort, infection and reduced quality of life.

One of the primary causes of skin damage is prolonged moisture exposure. Healthy skin acts as a protective barrier, but when it remains damp, it becomes softened — a process called maceration. This weakens the skin, making it more prone to friction, tearing and breakdown, especially in areas where skin folds or comes into contact with continence products.

Another contributing factor is pH imbalance. The skin naturally maintains a slightly acidic pH, which helps protect against harmful bacteria. Exposure to urine and faeces disrupts this balance, increasing alkalinity and weakening the skin’s natural defences. The Continence Foundation of Australia highlights that maintaining skin integrity is a key part of continence care, particularly in preventing irritation and breakdown.

In addition, bacterial and enzymatic activity plays a role. Waste products contain enzymes and microorganisms that can irritate the skin and increase the risk of infection. When combined with moisture and friction, this creates an environment where damage can occur rapidly.

These factors often lead to noticeable and uncomfortable effects, including:

  • Redness and inflammation

  • Itching, burning, or pain

  • Skin erosion or open areas

  • Increased risk of fungal or bacterial infections

Understanding these causes helps carers and care recipients take early, preventative action — reducing the likelihood of more serious complications.

Daily Skincare Routines for Managing Incontinence Related Skin Health

A consistent daily skincare routine is one of the most effective ways to maintain skin integrity. For carers, the aim is to create a routine that is simple, gentle, and easy to follow, while supporting dignity and comfort for the care recipient. Using coordinated solutions — such as the Abena continence and skincare range — can help streamline care and improve outcomes.

Gentle Cleansing After Each Episode

After each episode of incontinence, the skin should be cleansed as soon as possible. Use a pH-balanced, soap-free cleanser, such as Abena cleansing lotions or foams, which are designed to clean effectively without stripping the skin’s natural barrier.

Soft cloths or pre-moistened wipes can make this step quicker and more comfortable. Avoid scrubbing, as fragile or ageing skin can be easily damaged.

Proper Drying Techniques to Prevent Moisture Build-Up

Once cleansed, the skin should be dried thoroughly by gently patting with a soft towel. Rubbing should be avoided, as it can cause friction and further irritation.

Allowing the skin to air dry briefly, when appropriate, can help reduce residual moisture. Pairing good drying techniques with absorbent, breathable continence products—such as those in the Abena range—helps keep the skin drier overall.

Applying Moisturisers to Maintain Skin Barrier Function

Moisturising helps maintain skin strength and flexibility. Choose fragrance-free, hypoallergenic moisturisers, including those formulated for sensitive skin like Abena skincare products.

Regular application supports hydration, improves elasticity and reduces the likelihood of cracking or irritation — particularly important for older adults.

Using Barrier Creams for Ongoing Protection

Barrier creams are essential for protecting the skin from ongoing exposure to moisture and irritants. Ingredients such as zinc oxide or dimethicone form a protective layer over the skin.

Abena barrier creams and ointments are designed to provide this protection while remaining gentle on sensitive skin. Apply a thin, even layer after cleansing and moisturising.

Timely Changing of Continence Products

Regularly changing continence products is critical. Leaving wet or soiled products in place for extended periods significantly increases the risk of skin damage.

High-quality, absorbent products — such as Abena pads, pants, or slips — can help keep skin dry for longer, but routine checks and timely changes remain essential.

Choosing Breathable Clothing and Fabrics

Clothing should support skin health. Choose loose-fitting, breathable fabrics such as cotton, which allow airflow and reduce heat and moisture build-up.

Breathable continence products can further support a healthier skin environment by reducing humidity against the skin.

Supporting Skin Health Through Hydration and Nutrition

Skin health is closely linked to overall wellbeing. Encouraging adequate hydration and a balanced diet supports the body’s ability to maintain and repair skin.

Nutrients such as protein, vitamin C and zinc play an important role in skin integrity. Following the Australian Dietary Guidelines can help support these needs.

Choosing and Using the Right Continence and Skin Care Products

Selecting appropriate products can make daily care more effective, comfortable and manageable for both carers and care recipients.

The Abena range offers a comprehensive selection of continence and skincare products designed to work together as part of a complete care approach.

Selecting the Right Continence Products

Abena Abena Pants L3 Green 2400mL 100-140cm

When choosing continence products, it’s important to match the product to the individual’s needs:

  • Absorbency level: Abena uses a “drop system” to indicate absorbency, helping carers select the right level of protection and minimise moisture exposure

  • Fit and comfort: Products such as Abena Pants offer a discreet, underwear-like fit for more independent individuals, while Abena Slip products provide secure protection for those requiring assistance

  • Breathability: Skin-friendly, breathable materials help reduce heat and moisture build-up

Using the correct product helps prevent leaks and reduces the amount of time the skin is exposed to irritants.

Incorporating Skincare Products into Daily Care

A consistent skincare routine should include:

Abena Abena Washing Lotion, Waterless, 500ml Pump Bottle Carton of 6

  • Gentle cleansers: Abena wash lotions, wipes and cleansing foams cleanse without disrupting the skin barrier

  • Moisturisers: Help maintain hydration and support skin resilience

  • Barrier creams: Provide a protective layer against moisture and irritants

These products are designed for frequent use and sensitive skin, making them suitable for ongoing care.

Using Products Correctly

Even the best products are only effective when used properly. A simple routine can help ensure consistency:

  1. Cleanse the skin gently

  2. Pat dry thoroughly

  3. Apply moisturiser if needed

  4. Use a barrier cream for protection

  5. Fit a clean continence product securely

Keeping the routine simple makes it easier to maintain and reduces the risk of errors or missed steps.

Early Signs, Prevention and Treatment of Incontinence-Related Skin Damage

Recognising early signs of skin damage allows for prompt action and helps prevent more serious complications.

Early signs may include:

  • Redness or discolouration

  • Warmth or swelling

  • Itching, burning, or discomfort

  • Dry, fragile, or peeling skin

In people with darker skin tones, changes may appear as darker patches or changes in texture rather than redness.

Prevention

Prevention focuses on consistency and attention to detail:

  • Cleanse the skin promptly after each episode

  • Keep the skin dry

  • Apply barrier protection regularly

  • Change continence products frequently

  • Minimise friction during care

The Australian Wound Management Association (Wounds Australia) emphasises that prevention is the most effective strategy for managing incontinence-related skin damage.

Treatment and When to Seek Help

If skin damage occurs, early intervention is key. Treatment may include:

  • Increasing the frequency of skincare routines

  • Using specialised barrier or healing products

  • Applying antifungal or antibacterial treatments if infection is present

Seek medical advice if:

  • The skin becomes broken, weeping, or painful

  • There are signs of infection such as odour or discharge

  • The condition does not improve with routine care

Healthcare professionals — including GPs, nurses and continence specialists — can provide tailored guidance and treatment.

Conclusion

Managing incontinence-related skin health requires a proactive and consistent approach. Understanding how moisture, pH imbalance and bacterial exposure affect the skin allows carers and care recipients to take early steps to prevent irritation and breakdown.

A simple daily routine — focused on gentle cleansing, thorough drying, moisturising and barrier protection — forms the foundation of effective care. When combined with well-fitting, breathable continence products and early detection of skin changes, these steps can significantly improve comfort and quality of life.

Consistency is key. Small, regular actions can make a meaningful difference in maintaining skin integrity and supporting dignity in care.

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Tags: Skincare