Abstract
Moisture-associated skin damage, MASD, is a very common issue in healthcare settings, especially for people at
risk of immobility or incontinence. The sacral and coccyx areas are mostly affected by MASD because prolonged
exposure to any form of moisture, be it urine, feces, or perspiration, damages the protective barrier of the skin
and causes inflammation, maceration, and erosion of the skin. This case-study retrospective chart review of 185
patients with MASD located in the sacral/coccyx area provides insight into the management and outcomes of
this condition. Treatment consisted of AMD Gauze dressing, Calmoseptine Ointment (60% Zinc Oxide), and No
Sting Cyanoacrylate to assist in skin protection and moisture control, along with skin separation techniques to
reduce the accumulation of moisture under the folds of skin. Consistent supervision allowed for the monitoring
of progress, and proactive measures, including hygiene maintenance and moisture control were part of the
management plan.
Analysis of the data revealed an average healing time of approximately 4.51 weeks, with the majority of cases
being “Stable,” “Improving,” “Resolved,” and “Healed.” This suggests that most patients experienced positive
improvement; however, 8 cases had less than favorable outcomes, defined as “Deteriorating” or “Worsening”
statuses, which means that while the general trends are usually positive, the speeds of improvement and
responses to therapeutic input can vary based on comorbidities or outlying factors. These variations underline
the need for personalized and adaptive treatment plans and a continuous assessment mechanism to improve
patient outcomes
Several important lessons can be learned from this experience. First, it enables a multifaceted approach to
managing MASD, including not only the use of targeted treatments but also consistent patient education and
monitoring. The findings underline the variability of healing rates, meaning that the needs of patients can best
be addressed through individualized care strategies. This retrospective review has also found early intervention
and repeated assessment to be important for preventing complications and improving outcomes from healing.
Overall, this case study shows the huge impact that this management strategy, combined with personalized
care, can have on MASD healing and the quality of life for patients.