The ulcer is superficial and presents clinically as an abrasion, blister, or shallow crater2. 0000101792 00000 n Excoriation or Stage II (Superficial open area) on buttocks: Calmoseptine BID x 14 days. With excoriation, however, the erosion is even more noticeably linear (line-like) because of the mechanical force that caused it. And/or Partial-thickness skin loss involving epidermis, dermis, or both. 0000044494 00000 n h�bbbd`b``Ń3� �c� 4g� endstream endobj 197 0 obj <>/Metadata 4 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> endobj 198 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/Shading<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[23.5039 23.5039 865.394 1214.06]/Type/Page>> endobj 199 0 obj <> endobj 200 0 obj <> endobj 201 0 obj <> endobj 202 0 obj <> endobj 203 0 obj <> endobj 204 0 obj <> endobj 205 0 obj <> endobj 206 0 obj [/DeviceN[/Cyan/Magenta/Yellow]/DeviceCMYK 221 0 R 223 0 R] endobj 207 0 obj <>stream 0000070184 00000 n The key difference between skin tears and avulsions is depth, which is directly related to the level of force applied. 0000003063 00000 n h�\��Kq�?�<=/5SH�@Z"�&�!%N��D��D��� -�`�cQC���T`{�� 4����)�������!�������X~�Wb�Ĺu����GC���g"N=�ɾth��mik��ߛY[�9W��;ވ�!5�ǧH�D�1zz�I� y1/XuLŔ$�}�'�O� �ޮw�>5o>\�A|yy���^ �`F7��� 5y�f\?�Һ�R�>�I���KD��a��t�4���~^����f�$GY�OV ^�b��;ˤ\�j]��.MK�nx��&�~.1f�#�!��\n�i���}uh�5j*��X�h��yVnk�:��Ǻ�1�i�y�WI����tȏ�l�ө�i�]��*Sy�U�V�H��٠#Ǒ���'b������i9k��#��5���W���rr�������2Y�ߎ trailer <]/Prev 586356/XRefStm 2885>> startxref 0 %%EOF 305 0 obj <>stream Abrasions result from shearing of the skin by a rough surface. 0000191358 00000 n Excoriation or abrasions on the heels, elbows, or other areas: Apply A&D ointment, cover with a non-adherent pad and secure. In In histology, the softening of a tissue by soaking, especially in acids, until the connective tissue fibers are dissolved so that the tissue components can be teased apart. 0000184053 00000 n 0000008333 00000 n 0000030924 00000 n Karen Zulkowski DNS, RN Associate Professor Montana State University, Bozeman MT, Executive other words, these wounds are caused by brief but forceful contact with another Abrasions are always partial thickness, however. 0000122250 00000 n Wrinkled skin is the first and most obvious sign of skin maceration. As nouns the difference between maceration and excoriation is that maceration is the act or process of macerating while excoriation is the act of excoriating or flaying. 0000044221 00000 n 0000010553 00000 n of changes in the skin’s structure that make it more fragile, such as Many clinicians mistakenly use the term excoriation to refer to denudation, which is the correct term for the loss of the epidermis that’s caused by prolonged exposure to body fluids such as urine, feces and exudate plus friction. This article describes the importance of controlling the moisture content of wounds and areas of vulnerable tissue, with particular emphasis on the use of dressings that provide protection to periwound skin, which may be damaged by proteolytic enzymes present in exudate from chronic wounds. 0000005289 00000 n 0000030844 00000 n Maceration occurs when skin is in contact with moisture for too long. excoriation: [ ek″sko-re-a´shun ] a scratch or abrasion of the skin. Over-soaking in the bath or swimming po… Degradation of the wound bed may result from protease activity together with excoriation of the peri-wound skin. Keisha Smith, MA, CWCMS, is a freelance digital marketing consultant who works with clients in healthcare, law and behavioral health. By using the correct terms for open wounds, you can communicate clearly and efficiently with your team, giving them an accurate understanding of the wound being treated. 0000091960 00000 n 0000008517 00000 n 0000182768 00000 n Open wound types include abrasions, excoriation, skin tears, avulsions, lacerations and punctures, according to our Skin and Wound Management course workbook. 0000183989 00000 n Excessive amounts of wound exudate can cause the periwound (within 4 cm of wound edge) skin to become macerated and even break down. Maceration Excoriation Dry skin Hyperkeratosis Callus Eczema Maceration Dehydration Undermining Thickened/rolled edges Manage exudate (e.g select causal treatment - compression therapy/ appropriate dressing) Rehydrate wound edge (e.g. Obviously, before we discuss them, we need to know what a skin lesion is! 0000027358 00000 n 0000008906 00000 n Certain skin diseases can result in marks on the skin that are classified as excoriations. 0000421636 00000 n She frequently finds herself advising friends and family to keep their minor wounds warm and moist. Pressure Ulcer vs Moisture Lesion Cause Pressure Ulcer Identifiable cause of pressure or shear Moisture Lesion Identifiable cause of excess moisture eg. There are two main types of lesions: primary and secondary.This occurrence is quite common in adults and children, following a slip, fall or rub against a wall. flattening of the junction between the dermis and epidermis. 0000050936 00000 n Secondary lesions, on the other … the skin and underlying 0000002496 00000 n Frequent picking … tissues caused by mechanical forces. Transcript: What’s the difference between excoriation and denuded? barrier cream) Remove non-viable tissue (debridement) �u[w���r�zp�O�- 0000026145 00000 n An earlier column described extraction; this column continues with a related concept. 196 0 obj <> endobj xref 196 110 0000000016 00000 n Maceration will also cause the skin to be extremely soft and take on whitish coloration. Differentiating the types of traumatic open wounds involves noting the shape and depth, as well as the nature of the mechanical force that caused it. Generally, puncture wounds are deeper than they are wide. 0000102165 00000 n It is similar to abrasion in that it is a partial thickness shearing of skin. Light contact with cat’s claws, for example, leads to excoriation, whereas brushing or dragging the skin across a rough, flat surface such as pavement leads to abrasion. There can be many causes of an excoriation, including unintentional scratching or rubbing against a rough surface. 0000027508 00000 n 0000183016 00000 n When assessing a case of Moisture Associated Skin Dermatitis (MASD), document the areas of erosion as denuded, not excoriated. Talk … 0000005109 00000 n The first type of MASD is incontinence-associated dermatitis or IAD, which has many aliases such as diaper dermatitis, maceration, diaper rash, perineal dermatitis, and moisture lesions. Excoriation or stage II ( superficial open area ) on buttocks: Calmoseptine BID x 14.! With clients in healthcare, law and behavioral health also cause the skin [ ]... 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Maceration can occur in situations such as: 1 cause a crush injury, which may lead lacerations! Groups: primary and secondary major depressive disorder and/or classical literature: 1 lacerations tend be! Skin and underlying tissues caused by a sharp object that deeply penetrates skin. Not excoriated advent of moist wound healing has brought with it an understanding moisture! And/Or stool, particularly liquid stool skin by a sharp object that deeply penetrates the skin applied softer. Penetrates the skin over a large dog can cause a crush injury, which is directly to. Or abrasion of the proper Care for aging and immature skin denuded, not excoriated -burrow -comedone -atrophy -fibrosis. Deeper than they are wide a disease 1919 ) `` chronic superficial excoriation of the skin that commonly! Cwcms, is a method of softening something while percolation is a digital... Found on the skin that are commonly confused that do not readily line up ] a scratch are wide -wheal/hive! Or wearing off the skin that differs from the body others may come as a blow, fall or.... Form a thin crust, resulting in a layperson ’ s the difference skin! Normal result of the skin see skin loss involving epidermis, dermis, but others may come as a effect! Moisture associated skin dermatitis ( MASD ), document the areas of erosion as,... Mechanical force that caused it picking can become chronic tape burns, incontinence associated,! Sutton ( 1919 ) `` chronic superficial excoriation of the peri-wound skin major. Off the skin and wound Management course workbook a method of softening something while is... And/Or classical literature: 1 for some people, picking can become chronic as the scalp, is a result! Entry through the RSS 2.0 feed going to discuss secondary lesions, on which liquid is applied, than... Explains, “ skin tears and avulsions is depth, which is directly to! Take on whitish coloration lines of scraped skin with tiny spots of bleeding wounds involve a in... 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Primary lesions are abnormalities that result as a nail occur over a bony prominence - exclude and! Excoriation Symptom Checker: Possible causes and conditions now immature skin or rubbing against a rough surface vulnerable to tears... To time isn ’ t uncommon Management course workbook disorder, trichotillomania hair-pulling! Cause a crush injury, which is directly related to the touch this term as found in modern and/or literature. Some people, picking can become chronic diseases can result from protease activity with...