Skin IQ™ Microclimate Manager case presentations

Skin integrity

The case presentations contained in this booklet illustrate the use of the Skin IQ™ Microclimate Manager (MCM) on patients admitted with a range of complex underlying aetiologies. These individual cases are part of a larger clinical evaluation that has been undertaken by clinicians in Europe using the Skin IQTM MCM. Note: As with any case study, the results and outcomes should not be interpreted as a guarantee or warranty of similar results. Individual results may vary depending on the patient’s circumstances and condition. This booklet has been supported by an educational grant from KCI.

CASE STUDY 1
Johannes Timmer, Intensive Care Nurse, Krankenhaus der Barmherzigen Bruder Trier, Germany

Background
A female patient aged 52 years was admitted for a hemicolectomy. She had a left hemiparesis, epilepsy and Darier's disease (keratosis follicularis).

On presentation, the patient was sweating heavily and her skin was excessively moist. The patient also had diarrhoea. The condition of her skin was poor due to Darier's disease, with oozing papules and an inflammed rash over the back region and urogenital area. She was complaining of intense itching (pruritis) and pain.

Treatment
The patient was placed on the Skin IQ™ Microclimate Manager (MCM), in conjunction with a pressure redistribution mattress, to relieve her discomfort. After five days (Fig 1), there was an improvement in the appearance of the skin, which was less moist; the patient reported a reduction in the itching.

After eight days on the Skin IQ™ MCM (Fig 2), the skin redness due to Darier's disease had lessened. The patient continued to experience diarrhoea.

Outcome
At the end of placement on the Skin IQ™ MCM (nine days), the skin was dry and less irritated with reduced redness and oozing from the papules. The pruritis and pain were decreasing.

The patient described the Skin IQ™ MCM as comfortable. Use of the Skin IQ™ MCM, in conjunction with the pressure redistribution mattress, led to an improvement in the patient's dermatological condition.