Smith & Nephew (2019d) Review of Certificate of Analysis for PROSHIELD Plus Skin Protectant. RD.19.016 Smooth and fragrance-free moisture barrier *6,7 to protect and maintain skin integrity from exposure to faeces and urine 1,2,4 Flanagan M (2020) Incontinence-associated dermatitis 2: assessment, diagnosis and management. Nurs Times [online] 116(4): 40-44 Sign up for marketing updates to stay connected with information about S+N and topics around your areas of interest. You can update your preferences any time

PROSHIELD® FOAM & SPRAY is a no-rinse incontinent and total-body cleanser and moisturizer. Its surfactant ingredient, Poloxamer 188, cleans skin without drying it out, while its solubilizer breaks down dried stool without the need for scrubbing. When PROSHIELD ◊ Foam and Spray Skin Cleanser and PROSHIELD ◊ PLUS Skin Protectant are used together they can help to prevent and protect the skin from IAD and moisture lesions and reduce the incidence of moisture lesions in people with IAD (Meuleneire, 2010; Flynn and Williams, 2011; Ling, 2011; Maxwell and Sinclair, 2012; Wall and Vernon, 2016). Proshield Plus Skin Protectant is designed to be used alongside a skin care regimen to protect both healthy and damaged skin from moisture-related skin damage such as incontinence-associated dermatitis (IAD) and pressure ulcers. It provides a smooth, fragrance-free moisture barrier to protect the skin from urine and faeces. It gives the skin a translucent sheen, making monitoring as easy as possible for the patient.A reduction in pain and discomfort that is achieved by maintaining skin pH (Smith and Nephew, 2019a) and moisture barrier function (Shah et al, 1995) Traditional soap and some cleansers require water to rinse but PROSHIELD ◊ Foam and Spray Skin Cleanser requires no rinsing (Flynn and Williams, 2011; Ling, 2011; Wall and Vernon, 2016) or the use of a separate moisturiser when used with PROSHIELD ◊ PLUS Skin Protectant and therefore has the potential to reduce the number of steps needed in the skin care regimen of a person with incontinence. The efficacy of PROSHIELD ◊ Skin Care when used on intact or injured skin was confirmed in an audit of ten patients with moisture lesions due to IAD (Meuleneire, 2010). The clinicians found it very easy to remove the ointment with PROSHIELD ◊ Foam and Spray Skin Cleanser. PROSHIELD® PLUS is a unique skin protectant that offers protection and adherence qualities that rival products with zinc oxide, but is as easy to apply and remove as petrolatum-based products. For the care of intact or injured skin associated with

PROSHIELD Plus Skin Protectantshould be gently smoothed over the area of intact or injured skin; do not rub in as this may cause friction. The product will leave a visible barrier on the surface of the skin and is suitable for daily use. Answers to frequently asked questions For best results, PROSHIELD PLUS should be used with PROSHIELD Foam & Spray, according to your established skin care protocol. Want to know more about PROSHIELD PLUS? Is formulated for use as part of a skin care regime against moisture-related skin damage such an incontinence-associated dermatitis (IAD) and pressure ulcers on both intact & injured skin.European Commission. Glycerin. In: Database CIS ed. http://ec.europa.eu/growth/tools-databases/cosing/index.cfm?fuseaction=search.details_v2&id=34040 European Commission, 2019. Penzer R, et al (2012) Best practice in emollient therapy. A statement for healthcare professionals. Dermatological Nurs 11(4): S1-S19

PROSHIELD Foam & Spray Cleanser: Gentle, pH-balanced and rinse-free, which eliminates the need to scrub delicate tissue 1-3,6,7 PROSHIELD is the number one skin care system for intact and injured skin associated with incontinence and is a trusted choice of Healthcare Professionals Shah S, Cornell M, Ward AJ (1995) Evaluation of moisture through skin protectant barriers by paper chromatography. Adv Skin Wound Care 8(4): 20–27 Skin that is not protected is at risk of damage and breakdown – incontinence associated dermatitis (IAD)In summary, the main advantages of PROSHIELD ◊ Foam and Spray Skin Cleanser and PROSHIELD ◊ PLUS Skin Protectant are: We do our best to keep our delivery prices fair, and we only charge you what the courier services are charging us. The PROSHIELD Skin Care range is formulated for use on both intact and injured skin as part of a skin care regime against moisture-related skin damage, such as incontinence-associated dermatitis (IAD). 1-5 A reduced number of steps in the skin-care regimen of a patient following an episode of incontinence