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LBF skin care range

Description

The LBF product range is specifically designed to deal with the factors that can affect skin integrity including:

  • Exposure to bodily fluids such as urine, faeces, exudate and excessive perspiration
  • Regular changing of stoma pouches and the use of adhesive dressings and tapes
  • Pressure on the skin from lying or sitting in the same position for long periods of time and friction damage from clothes or bedding rubbing against the skin.

The range includes the following products:

The Barrier Cream contains dimethicone and is formulated to provide a barrier between intact skin and urine and faeces. It is designed to be an easy-to-apply formula, which moisturises and spreads across the skin providing a breathable layer of protective cream (Beldon, 2012). It has the following benefits:

  • 12-hour waterproof formulation: resists wash-off, provides long-lasting protection and reduces the amount of applications required (Fletcher, 2012)
  • Skin-friendly formulation: latex free, fragrance-free, non-greasy and pH-balanced, making it a popular choice for people with sensitive skin, or those just wanting a more comfortable ‘feel'
  • Non-blocking formulation: it will not block incontinence pads and does not affect the adhesion of dressings or medical devices such as stoma pouches 
  • Highly concentrated: small amounts cover a large area of skin
  • Balanced consistency: the consistency is not too thick, making 
    it easy to spread across the skin and form a breathable layer. This reduces the time taken to apply the cream and maximises coverage. After the cream has absorbed into the skin, no sticky residue is left
  • Choice: LBF Barrier Cream is available in three sizes: 2g sachet, 30g tube and 100g tube.  


No Sting Barrier Film Spray has been developed to protect intact skin from the harmful effects of bodily fluids such as urine, faeces, digestive enzymes and exudate. It will also protect against friction and adhesives. The product has the following benefits:

  • Skin-friendly formulation: due to its alcohol-free formulation, the spray does not sting. It is also latex-, preservative- and fragrance-free
  • Comfortable easy-to-use application: it can be applied without touching the skin directly, which is ideal for sore and delicate skin. It has a uniform spray pattern for maximum coverage
  • Safe: there is no cold sensation when sprayed onto the skin, removing the risk of aerosol burns and discomfort
  • Choice: the spray is available in two sizes — 30ml and 50ml.

The Sterile No Sting Barrier Film Foam Applicator protects intact and broken skin from the harmful effects of bodily fluids such as urine, faeces, digestive enzymes and exudate. It is silicone-based and will also protect against friction and adhesives:

  • Transparency: film allows visual inspection and monitoring of at-risk skin, whilst providing film flexibility for easy movement
  • Infection control: the foam applicators are individually packaged for single use. They are sterile and suitable for use on broken skin
  • Ease of application: the 1ml applicator allows for extremely accurate application.

Sterile No Sting Barrier Wipes leave a transparent protective film on the skin that dries rapidly without stinging and provides an effective barrier against bodily fluids such as urine and faeces. It also mitigates against friction and damage from adhesive products, whilst providing an ideal surface for the adhesion of stoma pouches, wound dressings, sheaths and other medical devices.

The wipes can also be used around suprapubic catheters, tracheostomy sites and for peri-wound skin protection:

  • Clinically proven: the wipes are suitable for even the most sensitive skin and can be applied to broken skin
  • Sterile: ideal for areas where there is a risk of infection by providing a safe and healthy healing environment for skin. The wipes are individually packaged making them ideal for single use
  • Skin-friendly formulation: the wipes have an alcohol-free formulation. The skin- friendly formulation is also latex-, preservative- and fragrance-free.

Available online at:
http://www.clinimed.co.uk/Stoma-Care/Products/Stoma-Skin-Care-and-Accessories/LBF/Detail.aspx

LBF skin care range

Indications

LBF products are designed to provide a barrier against irritation from body fluids, such as urine, faeces, excessive perspiration or wound exudates and protect the skin from incontinence-associated skin damage. They can also protect against friction and provide an ideal surface for the adhesion of medical devices.

Contraindications

LBF Barrier Cream should not be used on broken (although the wipes and foam applicators can be used on broken skin as they are sterile and do not affect wound healing) or infected skin or in cases where there is a known allergic sensitivity to any of the ingredients.

Product plus points

  • LBF Barrier Cream has a waterproof formulation that resists wash-off for 12-hours . This provides long-lasting protection and reduces the amount of applications needed (Beldon, 2012)
  • LBF Barrier Cream’s non-blocking formulation means it will not clog incontinence pads (Fletcher, 2012), ensuring pad absorbency is not reduced. Similarly, it will not affect the adhesion of dressings or medical devices such as stoma pouches. As it is highly concentrated, small amounts can cover a large area of skin, improving cost-effectiveness (Fletcher, 2012)
  • Recent studies have shown how the silicone-based films, such as LBF, outperformed zinc oxide preparations and had the advantage of being easier to apply (Neander and Hesse, 2003; Cameron et al, 2005).
  • LBF film products provide  an economical way of protecting vulnerable skin across the age spectrum (Voegeli, 2008)
  • LBF Barrier cream has a balanced consistency, making it easy to apply and spread effortlessly across the skin (Beldon, 2012); forming a breathable layer on application. This reduces the time taken to apply the cream and maximises coverage. After the cream has absorbed into the skin, no thick or sticky residue is left
  • Being latex-free, fragrance-free, non-greasy and pH-balanced, LBF Barrier Cream is also skin-friendly, making it a popular choice for people with sensitive skin, or those just wanting a more comfortable feel on their skin (Fletcher, 2012)
  • No Sting Barrier Film Spray has a bag-on-valve technology, allowing the film to be applied uniformly and preventing particles being sucked back into the canister, reducing risk of cross infection (Wounds UK, 2013). 

How to use

LBF Barrier Cream

Available in the following sizes:

  • 100g tube
  • 30g tube
  • 2g sachet x 20.

In the case of stoma care, the following steps should be taken:

  • Remove any urine or faecal matter
  • Cleanse and dry skin
  • Apply LBF Barrier Cream sparingly around peristomal skin as required
  • Rub in well before applying the pouch
  • Repeat application as required.

In the case of continence care, the following steps should be taken:

  • Remove any urine or faecal matter
  • Cleanse and dry skin
  • Apply LBF Barrier Cream around the area as required
  • Repeat application after each incontinent episode or as required.

LBF No Sting Barrier Film Spray

Available in two sizes – 30ml and 50ml cans.

Clinicians should clean and dry the area where the barrier film is to be applied by removing any urine, faeces or exudate. Hold the spray nozzle 10–15cm (4–6 inches) from the skin and apply a smooth, uniform coating of film over the entire area, whilst moving the spray in a sweeping motion.

The spray can be applied as required. Clinicians do not need to remove the film as it will wear off naturally.

LBF Sterile No Sting Barrier Film Foam Applicator

Available in a 1ml sachet. A box contains five individual applicators, which can each cover a surface area of 15cm x 15cm.

As above, clean and dry the area where the barrier film is to be applied by removing any urine, faeces or exudate. Apply a uniform coating of film to the area using the foam applicator.

Sterile No Sting Barrier Wipes

Each wipe can cover a surface area of 15cm x 15cm.

Apply the wipe evenly over the skin and allow it to dry for a few seconds. If applying the wipe to an area where the skin folds, separate the skin to allow it to dry.

Wipes can be used on infants aged 12 months and over.

Ordering information

CliniMed Product Code

Description

Quantity

PIP Code

NHS Supply Chain Code

3820

LBF Sterile No Sting Barrier Wipes

1 box of 30 wipes

289-6439

GCF202

3821

LBF Barrier Cream, 100g

1 tube

368-8397

GCC1286

3822

LBF Barrier Cream, 2g

1 box of 20 sachets

374-4307

GCC1388

3823

LBF Barrier Cream, 30g

1 tube

372-3335

GCC1387

3824

LBF Sterile No Sting Barrier Film Foam Applicator, 1ml

1 box of 5 foam applicators

376-2358

ELY431

3826

LBF No Sting Barrier Film Spray, 50ml

1 can

376-2200

ELY430

3827

LBF No Sting Barrier Film Spray, 30ml

1 can

376-2192

ELY429

References

Beldon P (2012) Incontinence-associated dermatitis: protecting the older person. Br J Nurs 21(7): 402–07

Cameron J, Hoffman D, Wilson J, Cherry G (2005) Comparison of two peri- wound skin protectants in venous leg ulcers: a randomised controlled trial. J Wound Care 14(5): 233–36

Fletcher J (2012) The use of a skin barrier cream in patients with incontinence. Wounds UK 8(1): 130–36

Neander KD, Hesse F (2003) The protective effects of a new preparation on wound edges. J Wound Care 12(10): 369–71

Wounds UK (2013) The use of skin barrier films in patients with moisture lesions. Clinical evaluation: LBF® No Sting Barrier Film. Wounds UK. Available online (accessed 27/July/2013)

Evidence base

Beldon P (2012) Incontinence-associated dermatitis: protecting the older person. Br J Nurs 21(7): 402–07

This article examines older people’s skin and the way it is subject to dehydration, environmental factors and continence problems, which can lead to particularly painful incontinence-associated dermatitis (IAD), or even formation of moisture lesions. The author examines whether use of an effective barrier cream, which provides protection while not interfering with the efficiency of continence pads, can be an invaluable means of preventing IAD in older people.

The author outlines the pathophysiology of IAD in older patients as well as highlighting that quality of life studies demonstrate the detrimental effect of incontinence. She goes onto to explain the benefits of skin assessment, skin cleansing and barrier creams, finally looking at recommendations for practice, which include using a barrier cream that contains dimethicone to provide an almost invisible barrier that does not affect the absorbency of body-worn continence pads.

The author provides three case studies of patients with urosepsis and associated skin damage; incontinence dermatitis owing to a combination of urinary and faecal incontinence; and Clostridium difficile and dehydration.

In each case the skin was improved through the use of LBF Barrier Cream, leading the author to conclude that the use of LBF Barrier Cream as part of a skin care regimen can ‘enhance the individual’s quality of life by providing protection from the deleterious effects of urine and faeces’.

Fletcher J (2012) The use of a skin barrier cream in patients with incontinence. Wounds UK 8(1): 130–36

This article examines the role skin plays in holistic health, providing a barrier against microbial invasion, minor trauma, chemical assault and dehydration. The author highlights how the skin can be damaged in a number of ways, one of which is incontinence.

Incontinence of urine, faeces or both can have a significant impact on the skin, most commonly resulting in incontinence-associated dermatitis (IAD). The author cites research suggesting that urine and faeces may cause damage to the skin individually, but that significant damage can occurs when they are mixed.

When treating any patient with incontinence, preventing the development of IAD is paramount. The clinician must identify the cause of the incontinence and catheters or faecal collection devices may be considered appropriate, particularly if the skin is very damaged and painful. Protecting and rehydrating the skin is also important using products such as barrier creams, skin protectors and emollients.

The author uses case studies of patients with spinal cord injuries to investigate a barrier cream’s ability to prevent skin breakdown. Following use of LBF Barrier Cream, all three patients showed improved skin colour and skin condition.

Voegeloi D (2008) LBF® ‘no-sting’ barrier wipes: skin care using advanced silicone technology. Br J Nurs 17(7): 472–76

Recently, there has been a growth of the use of silicone-based products, with various applications including disposable contact lenses, urinary catheters, and the development of innovative wound and skin care products.

The current development of topical silicone treatments to protect the skin reflects the need to protect vulnerable areas of patients’ skin and the prevent skin breakdown. These are basic principles of care that apply across the various specialties of care.

This article looks at how a silicone-based barrier film, such as CliniMed’s LBF No Sting Barrier Wipes, act to prevent and manage skin breakdown.

Wounds UK (2013) The use of skin barrier films in patients with moisture lesions. Clinical evaluation: LBF® No Sting Barrier Film. Wounds UK

Excessive moisture on the skin can give rise to a plethora of problems, including maceration, incontinence-associated dermatitis and, in severe cases, moisture lesions. This damage can be caused by chronic wound exudate, urinary or faecal incontinence, or perspiration and the cost in human and financial terms can be considerable.

Moisture lesions result in a host of distressing symptoms including pain and discomfort and it is important that healthcare professionals are able to diagnose and manage it correctly.  This involves treating the cause of skin damage systemically as well as locally.

Clinicians have found barrier film useful in protecting the skin and keeping excess moisture from incontinence and wound fluid at bay.

This booklet highlights the damage caused by excessive moisture and uses case studies to investigate the efficacy of a barrier product – LBF® No Sting Barrier Film (CliniMed Ltd).