A. Who is more likely to have skin damage after incontinence? Skin damage in incontinent patients is related to a number of risk factors, including the patient’s lack of self-care ability, reduced mobility, the patient’s cognitive deficits, the patient’s nutritional problems and the patient’s double incontinence. Why is incontinence likely to cause skin damage? Incontinence can cause damage to the integrity of the skin, damage to the protective function of the skin, double incontinence exacerbates skin damage, microorganisms are easily attached to the broken skin, and physical and mechanical stimulation by repeated wiping can easily cause skin damage. Third, what are the characteristics of incontinence-induced skin breakdown? Because the skin irritation dermatitis caused by incontinence, mainly located in the skin exposure and stimulated by fecal water to the parts of the skin, the parts of the skin folds are generally not involved. While physical and mechanical injuries, such as abrasions, mainly occur in the sacral tail or areas subjected to friction, while fungal infections are mainly located in the moist parts of the skin, especially in the unventilated, breathable skin folds. Fourth, to prevent the occurrence of skin damage, how should care for incontinent patients? 1, clean skin: do not make urine, feces and other excrement impregnated and attached to these parts of the skin to avoid skin damage and skin infection. Cleaning action should be gentle, avoid vigorous damage to the skin. Avoid using dry and hard tissues for wiping. Usually remove skin irritants with mild cleansers such as mild soap and water or clean with water, preferably with a weakly acidic cleanser, and for damaged skin use an acid-alkaline balanced cleansing solution, such as saline. After each change of incontinence care products, you also need to clean with water and keep the local skin dry. 2, diaper selection: according to the incontinence situation to choose the appropriate diapers. The absorbency, comfort, convenience, environment and resources of the diaper need to be considered in the selection. 3. Education: Early detection of skin problems caused by incontinence, local skin to avoid pressure, diligent change of bed position; promote blood circulation; keep the bed clean and flat; use pressure-reducing supplies for the bony prominence; pay attention to the technique when moving, and the patient should be lifted to avoid friction caused by dragging. Try to remove the irritant by washing, avoid using hand paper to wipe away the irritant, because the skin is easily damaged by friction when wiping.