P reventative - suitable for daily use as a preventative measure to help protect healthy intact skin which is subject to the effects of incontinence Ling L (2011) Proshield skin care protective system: A sequence of evaluations. Wounds UK poster presentation. Harrogate, UK

Ingredients include: Water Purified, Glycerin, Cocoamphodiacetate, Poloxamer 188, Cocamidopropyl PG Dimonium Chloride Phosphate, DMDM Hydantoin, Laureth 23, Citric Acid, Fragrance. Wall L, Vernon T (2016 ) Launch of a skin care regime to reduce the incidence of moisture associated skin damage. Poster presentation, Tissue Viability Society (TVS) conference, UK A reduced number of steps in the skin-care regimen of a patient following an episode of incontinence Meuleneire F (2010) A new solution in the treatment of moisture lesions. European Pressure Ulcer Advisory Panel (EPUAP) poster presentation. Birmingham, UK: 1-3 SeptemberPROSHIELD 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 Effective prevention and management of moisture lesions and IAD without needing a moisturises, when used with PROSHIELD PLUS 1-3

Proshield® Foam & Spray No Rinse Spray Cleanser eliminates the need to apply a lotion after cleaning or bathing. Flynn and Williams (2011) undertook a small user evaluation in an elderly group of patients who had skin damage following incontinence. They found using PROSHIELD ◊ Skin Care in conjunction with effective pressure ulcer prevention and management resulted in improved skin condition. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your

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Proshield Foam & Spray contains a surfactant which cleans skin without drying it out, like soap and water. 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? Penzer R, et al (2012) Best practice in emollient therapy. A statement for healthcare professionals. Dermatological Nurs 11(4): S1-S19 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). Smith & Nephew (2019c) Verification Testing Report of Usability and Transparency for PROSHIELD Plus Skin Protectant. U/064/R1

PROSHIELD PLUS Skin Protectant range 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. 1-5 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)doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: PROSHIELD Foam & Spray range 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. 1-5 Howers L, Boyett F (2012) Evaluation of Proshield Plus in nursing homes for inclusion onto formulary in a healthcare trust. Wounds UK poster presentation. Harrogate, UK Proshield Foam & Spray incontinent and total body cleanser contains glycerine to moisturize skin. The foam or spray setting options reduces waste. PROSHIELD ◊ Foam and Spray Skin Cleanser has been formulated to be pH balanced and so maintains normal skin pH during use (Smith & Nephew, 2019a).

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical In summary, the main advantages of PROSHIELD ◊ Foam and Spray Skin Cleanser and PROSHIELD ◊ PLUS Skin Protectant are: For best results, PROSHIELD Foam & Spray should be used with PROSHIELD PLUS, according to your established skin care protocol. Want to know more about PROSHIELD Foam & Spray? 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 Foam and Spray Cleanser's convenient non-aerosol spray-bottle contains a pleasant-scented fragrance helps keep the environment fresh smelling and makes uses, caregives, and patients feel clean. No Rinse Foam or spray settings reduce waste and save money. Ideal for facial or urinary incontinence clean-up.Smith & Nephew (2019d) Review of Certificate of Analysis for PROSHIELD Plus Skin Protectant. RD.19.016