BETTER COMFORT, BETTER CARE - Mcknights

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SPECIAL MARKETING SECTIONBETTER COMFORT,BETTER CAREA SUPPLEMENT TOIN PARTNERSHIP WITHINSIDEMore Complete than ever. 3Restorative nursing is the key.4Go green for wound care.5

Your missionis our missionYou provide comfort,care and protection.Your skin can paya price.PROTECTIONProtective masks and other PPE can cause skindamage. A number of Essity products that you mayalready be using for wound and skin integrity maybe just what you need for protection, relief andtreatment of skin irritation.To learn more about how our products can help,contact us at HMS.Sales.Support@essity.comRELIEFFROM SKIN DAMAGEOF IRRITATED AREASHypafix HYPAFIX TRANSPARENTA THIN, FLEXIBLEAND BREATHABLEFIXATION DRESSINGTENA BARRIER CREAMA PERFUMEFREE ANDWATERREPELLANTLAYERCUTIMED PROTECTFOAMAPPLICATORA CLEAR,TARGETED SKINPROTECTANTLEUKOMED CONTROLSOFT, TRANSPARENTDRESSING WITHGEL PADSEnsure the functionality and fitting of the mask is not compromised when using products. Do not use incombination with fatty products, such as ointments, creams and solutions. Refer to your local or nationalpolicy or guidelines before use.During the COVID-19 crisis, we are dedicated to continue serving the communitywith essential goods and services, while strictly adhering to all health and safety guidelines.TREATMENTOF SMALL PRESSURE WOUNDSCUTIMED HYDROCONTROL PROTECT AND SUPPORTHEALING OF OPEN WOUNDSAND BROKEN SKIN

TENA Completeexpansion improves fit,confidence, workload When it comes down to incontinenceproducts, one size does not fit all.Products with the wrong cut or toolittle absorbency can lead to embarrassing leaks and threaten skin integrity —creating more work for time-strappedcaregivers.As the nation’s long-term care providers grapple with COVID-19 and its effects,nursing homes are especially mindfulof the demands of routine care. Higherabsorbency products provide peace ofmind and flexibility with changing strategies for incontinent residents.“Having a more absorbent product thatis comparable in price is a much bettervalue for those on the frontline of careright now as they are managing theirchange rates for residents,” says TonyForsberg, RN, BSBA, WCC, CSPHA, Essity’snational clinical director.Two new additions to TENA Complete’sinnovative product line address individual differences by adding coverage andimproving fit for residents.Both TENA Complete Ultra and TENAComplete Care Ultra offer 25% morebackside coverage than traditional TENAComplete products and have addedstanding leg gathers using dual soft elastics to ensure a better fit in the groin areato help reduce leaks.TENA’s approach to improved comfortSPECIAL MARKETING SECTIONand fit doesn’t come with uncomfortabletrade-off s. There’s no extra bulk, making each brief a discreet and chafe-freeoption for residents.Dignity for residents is paired with easeof use for busy staff, who might easilyspend 15 minutes changing incontinence products and linens inthe case of leaks. TENA’s multivoid products offer unmatchedabsorbency that can help facilities reduce time spent on unexpected leaks and, potentially,make fewer changes.In a recent third-party lab test ofabsorption capability, TENA Complete Care Ultra outperformed two majorcompetitors by 25%.“We continue to set the standard for“It all connects tomitigate the level ofincontinence andrestore the confidence of residents.”Tony Forsberg, Clinical DirectorBETTER COMFORT, BETTER CARE 3

product performance, resident care andalso staff satisfaction,” says Birgitta Sama,global brand innovation manager. “Weknow staff members want to work with aproduct that performs.”The Centers for Disease Control and Prevention estimates 45% of women and 25%of men over 65 suffer from urinary incontinence. In a skilled nursing setting, thosenumbers skew closer to 65%, with many residents also coping with fecal incontinence.Less burden, more valueUsing a lesser product may require eight to10 changes daily for every incontinent resident in a building. That creates an unnecessary burden on staff, who have competingdemands for their valuable time.“Customers who are buying this typeof product have a lot on their plates,” saysBonnie Grady, Essity’s senior product manager for briefs and skin care. “One thingthey don’t want to have to worry aboutis whether their incontinence product isgoing to leak.”The newest TENA briefs — each availablein three sizes — feature the same EZFasten Fastening System as the TENA Completeand TENA Complete Care, on which nursing home staff have come to depend.Also chief among TENA Complete’s offerings is value. Each product is priced for usein any community. Better fit and absorbencycombined have been shown to reduce costsfor labor, product and even laundry operations.“Even without a huge budget, our cli-ents demand a quality product for theirresidents,” says Sama. “They want leakagesecurity, fit and comfort along with value.”The entire TENA Complete line featuresthe patent-pending DuoLock core, whichwicks away and locks in moisture, helpingto keep skin drier and the wearer more com-fortable. These multi-void briefs also requireless frequent changes for urinary incidents,a premium feature not typically associatedwith value products.“It all connects to mitigate the level ofincontinence and restore the confidenceof the residents,” Forsberg says. Comprehensive restorative nursing program is the keyIncontinence is not a normalconsequence of aging and, inmany cases, residents benefitfrom tailored treatments.A comprehensive restorativenursing program is key to improving function and control. Withthe largest clinical staff of anyincontinence manufacturer in theUnited States, Essity partnerswith long-term care providers asthey select strategies and products for individuals in their care.Success starts with a thorough4 BETTER COMFORT, BETTER CAREassessment that will drive theright approach and ensure appropriate reimbursement for providing high-quality care under thePatient Driven Payment Model.“Under PDPM, the Centers forMedicare & Medicaid Serviceshas increased its focus on providing that patient-driven care,”notes Tony Forsberg, Essity’snational clinical director.“We need to understand thehistory, the onset, the cause ofthe incontinence, and then wecan understand how to reduce— or maybe eliminate — thatincontinence.”Residents may be experiencing stress, urge, mixed or functional incontinence. In additionto understanding the physiologybehind an individual’s incontinence, physical or cognitivelimitations should be consideredas providers determine appropriate interventions.Core elements of a successful, nurse-directed restorativeprogram will improve a resident’sability to adapt and live asindependently as possible byincorporating: Bladder retraining Prompted voiding Scheduled/habit toileting“Check and change” does notcount as a restorative nursingprogram, Forsberg reminds clients. Even the best products mustbe matched with the kind of carethat can help restore continenceand improve quality of life.SPECIAL MARKETING SECTION

As a leader in clinicaleducation, Essityis advancing thetreatment and management of wounds aroundthe world through itsantimicrobial stewardship and sustainable“Many bacteria have a hydrophobic surface that is attractedto the compound, and are immediately and irreversibly bondedto it. We’re catching the bacteriainstead of killing it.”Cutimed Sorbact : Improves healing Is naturally safe and effective Quickly binds bacteria Has no known risk of bacterialresistanceWith Sorbact technology, noantimicrobial agent is released tothe wound and no mechanismBut going green has addi- for development of bacterialtional meaning for the company’s resistance has been described.When staff remove Cutimedextensive Advanced Wound Careline used in the treatment of com- products containing Sorbactplex and chronic wounds such from a wound, they hold on toas diabetic foot ulcers, venous the bacteria they’ve capturedmaking for simple, effectiveleg ulcers and pressure injuries.Some of Essity’s most pow- removal. In a randomized clinierful tools are designated by a cal study, Sorbact productsgreen label — a nod to both the improved healing time by asunique medicine-free power much as 40%.1of Cutimed Sorbact and its“That’s why this technologypotential to help reduce the time is so impressive — and it’s lessand money needed to produce expensive than many otherhealing.options,” Gray adds. “If you bringCutimed Sorbact technology a product like Sorbact into youruses a simple physical bonding facility, it’s a great tool for anyoneprocess to slough away bacte- who might need to use it.”ria without disturbing the cellsEssity’s Cutimed Sorbact isfound inside colonised and available in 10 products in a variinfected wounds.ety of shapes and sizes to meet“Anythinga range of green in ourwound careproduct lineneeds, fromis embedsacral areaded with thepressureQuickly BindsImproveshydrophobicinjuries toBacteriaHealingfatty acidpost-surgicalcompound,site wounds.Cutimed d i a l k y l c a rE ssit y ’s Sorbactb a m o y lclinical teamchloride,of fers onor DACC ,”site trainingNaturallyNo KnownSafe andRisk ofexplains Amyand productEffectiveBacterialGray, RN, BSN,selectionResistanceCWS, clinicalfor clients.manager ofOur productwound careline comesf o r E s s i t y.in multipleproduct development.Go green forwound careEssity’s Cutimed Sorbact helps speed healing Cutimed SorbactRedefining InfectionManagementSPECIAL MARKETING SECTIONBETTER COMFORT, BETTER CARE 5

varieties, such as ribbons, dressings and gels to meet a resident’sneeds.Cutimed Sorbact must touchthe wound bed, making a ribbonideal for use on undermining andtunneling frequently found withpressure injuries.Cutimed Sorbact requires exudate to work. In cases where notenough is present, staff can adda Cutimed HydroControl gel toincite action.Do not use lipid-based products such as ointments or creamsbecause they can negate thepower of Cutimed Sorbact’shydrophobic effect.Having a range of Cutimed products on-site will help facilities respond quickly when theyaccept a resident with an existing wound or need to slow anew wound from progressing. Acombined approach is especiallyimportant when addressing pressure injuries.“Our products help you workon healing, “ Gray says. “But it’simportant that you have a protocol in place and that your nursingstaff has the ability to delay progression using the right Cutimed variants and the ability to orderfoam or other tools needed foroff-loading.”Refining infection managementUsed on pressure injuries andmoisture-associated woundsin the sacral region or otherCutimed Siltec Highly breathablecolored PU filmSuper absorbent hotmeltstripes for additionalabsorption capacityHighly absorbingopen-porouspolyurethane foamPerforated silicone layerprovides skin friendly adhesionanatomically challenging sites,Cutimed Siltec Sorbact products facilitate exudate management and promote healthyconditions for healing. A siliconeborder provides gentle, flexibleadherence to surrounding skin,while a polyurethane foam corewith super-absorbers offersexcellent retention. A highlybreathable pressure injury filmcreates an ideal, moisture-balancing environment.Cutimed Siltec is available withor without Sorbact technology.When the wound-contact layer isembedded with Cutimed SiltecSorbact, it helps manage andcontrol infections.The Cutimed Siltec Sacralbandage features the sameinnovative properties, includingsuper-absorbent hotmelt stripesthat increase absorption capacity. These stripes ensure verticalabsorption, pulling moistureaway from the skin to decreasethe odds of maceration.At the same time, these products are shown to promotethe kind of moist environmentthat promotes cell growth andimproves wound healing, possibly doing so with less pain andscarring.Essity continues to expand itsCutimed line in order to ensurethat long-term care providershave the tools that they needfor easy application and reliableadhesion on vulnerable, contoured body parts. Because Sorbact doesn’t disturb the woundbed, dressing changes are alsolikely to be less traumatic forresidents.Safe and effectiveSelecting Cutimed Sorbact canalso help providers directlyaddress one of today’s mostFluid Handling Capability Super-absorbent hot-melt stripes ensure vertical absorption of exudate reducing the risk of maceration. Dynamic MVTR allows fluid to transpire while also maintaining amoist wound environment. Good flexibility and conformability with new unique sizes.Easy application and reliable adhesion on contoured body parts andjoints. Silicone layer minimizes pain with atraumatic dressing changes, andwound bed remains undisturbed.This may help patient comfort and compliance.6 BETTER COMFORT, BETTER CARESPECIAL MARKETING SECTION

pressing emerging issues: anincreasing overreliance on antimicrobial agents.Though it remains a popularchoice in many wound care products, recent research suggeststhat humans are beginning tobuild a level of resistance to certain antimicrobial agents usedfor medication.Cutimed Sorbact offers aneffective alternative — one thatfits into many antimicrobial stewardship initiatives.Many forms also can be wornfor up to seven days of effectivewound management, makingCutimed Sorbact a sustainableand cost-effective option, stakeholders note.Essity has been selling the Sorbact line of products in the U.S.for more than six years.Now, the company is poisedto expand its line after buying alarger stake in Abigo Medical, theEuropean company that createdthis technology.“This gives us the opportunityto explore many more avenues tobuild products for our customers,” says Larry Grom, Essity’ssenior product manager forwound care.Wound ryOver boneyprominencesCircular Wound orwound with regularshape (maybe irregular)Partial to FullThickness(can extend tosubcutaneous,muscle or bone)Undermining andtunneling iscommon. Sloughand eschar may bepresent.Incontinenceassociateddermatitis(shining wet skin)Sacrum, buttock,perineumSkin folds whereurine accumulates(Diffuse ion due toexcess moisture(pink or white)Definition of a pressure injury Local damage to skin and the underlying soft tissueUsually over a bony prominence, but can also be related to a medical or other deviceCan present as intact skin or an open ulcer.Occurs as result of intense and/or prolonged pressure, or pressure combined with shear.May be affected by microclimate, nutrition, perfusion, co-morbidities and soft tissue condition.Source: National Pressure Injury Advisory Panel September 2016. http://www.npiap.comMore on the wayLater this year, Essity will relaunchCutimed Sorbion , a superabsorber with borders designedfor use on moderately to highlyexuding wounds, including acuteand chronic wounds; leg, footand pressure ulcers; and woundshealing by secondary intention.And in 2021, Cutimed Sorbactwill expand into a gelling fiberdressing that can cover and helpmanage drainage and removal ofdead and damaged tissue.Provider reaction from thosewho have tried it has beenencouraging.“Once people see how Sorbactworks, they become fans for life,”Gray observes. 1Corsi, Alessandro. Comparison of a novel nonmediated bacteria-binding dressing to silver dressings in the management of acute and chronic skinlesions. Poster presentation SAWC 2012.Pressure or moisture? Understanding the risk factorsHeat and humidity are a dangerous combination in individuals at risk of developing pressure injuries.Direct contact with moisture from voidingor sweat can soften the skin, making it morefragile and susceptible to friction. Often,related injuries might be misdiagnosed asmoisture-associated dermatitis, costing residents precious time during which their woundsdecline and advance.For residents using incontinence products,proper staff education and products that lockin moisture while also removing it from theskin’s surface are a strong protective combo.“We have to understand the causes ofboth, and when we see it, we need to knowwhat to do next,” says Tony Forsberg, Essity’s national clinical director. “If possible,you want to work with a manufacturer thatSPECIAL MARKETING SECTIONwill provide education on-site and help youdevelop a structured skin care program.”Incontinence-associated dermatitis typically leads to a red, blotchy rash that blanchesto the touch in the perigenital area. Suchbreakdown can be painful for residents andcostly for providers because it puts residentsat greater risk of developing a secondaryinfection or a pressure injury.Staff efforts to properly identify incontinence and its cause at the initial assessment;to understand its cause; to improve residentmobility and toileting skills; and to implementa care plan can head off further complications.One of the best tools is a supply of incontinence products that address fit and breathability to keep residents dry between changes.Essity’s extensive line of absorbent products are designed to normalize the wearer’smicroclimate using TENA ConfioAir FullyBreathable Technology with 100% breathable sides and cores to promote healthy skin.TENA ConfioAir Breathable Technology hasbeen added to many TENA products, includingbriefs, protective underwear and pads.All TENA briefs also incorporate patentpending DuoLock core technology to wickaway and trap moisture away from the skin,rather than trapping it between bulky layers.“Incontinence-associated dermatitis ischallenging and common,” Forsberg says. “It’suncomfortable and affects quality of life, aswell as an individual’s physical and psychological well-being. But with careful risk assessment, differential diagnosis and the rightproducts, our customers routinely implementeffective measures that protect and promoteskin health.”BETTER COMFORT, BETTER CARE 7

Your missionis our missionIt’s hard work makingsomeone’s life easier.You’re on a mission to improve lives; andEssity is right there with you. It takes workand commitment to ease suffering and instillconfidence, but you’re doing it and Essitybrands can be an enormous help.To learn more about how our products can help,contact us at HMS.Sales.Support@essity.comA FULL RANGE OF INNOVATIVEPRODUCTS THAT MINIMIZE THEIMPACT OF INCONTINENCE.ADVANCED WOUND MANAGEMENTSOLUTIONS, INCLUDING SORBACT TECHNOLOGY THAT REMOVESHYDROPHOBIC BACTERIA FROMTHE WOUND.During the COVID-19 crisis, we are dedicated to continue serving the communitywith essential goods and services, while strictly adhering to all health and safety guidelines.*Among physicians who recommended a brand.THE #1 PHYSICIANRECOMMENDED BRAND OFCOMPRESSION HOSIERY INTHE U.S.*

Comprehensive restorative nursing program is the key. SPECIAL MARKETING SECTION BETTER COMFORT, BETTER CARE 5 . o r DACC ," explains Amy Gray, RN, BSN, CWS, clinical manager of wound care