Irritants Contributing to NAD
• Urine • Faeces • Perfumes • Essential oils
• Recent diarrhoea • Alcohol (in baby wipes and cleansers) • Talcum powder • Detergents
Table 1: Severity of NAD 4
No skin changes
Broken skin, spots, swelling signi cant skin loss & spreading in ammation
Moderate rash on >10% of the area, spots, swelling & breakdown of the skin with bleeding
Rash <10% of the nappy area, spots, dryness, or scaling
Unbroken Skin
Moderate Skin Damage Moderate erythema + small areas of damaged skin (<50% of a ected area)
Severe Skin Damage Intense erythema + large areas of damaged skin (>50% of a ected area)
Mild Skin Damage Unbroken skin
Unbroken skin at risk of skin damage
with mild erythema
(redness on white skin) +/- irritation
Good skin care is the rst step in preventing NAD. Using nappies that have high absorbency rates and changing the nappy as frequently as possible after soiling can help. Preventing NAD
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