# The Effect of a Smart Diaper Sensor on Incontinence-Associated Dermatitis Afflicting a Sedentary Patient with Cognitive Impairment

## TL;DR

A smart diaper sensor helped reduce skin irritation in a sedentary patient with cognitive issues by alerting caregivers when a diaper change was needed.

## Contribution

Demonstrates the effectiveness of smart diaper sensors in managing incontinence-associated dermatitis in cognitively impaired patients.

## Key findings

- The MONIT sensor reduced IADS and PAT scores, indicating improved skin condition.
- Combining the sensor with antifungal treatment effectively managed IAD severity.
- Smart sensors enabled timely interventions, preventing complications in sedentary patients.

## Abstract

Background: Urinary incontinence (UI) is common among hospitalized patients and often leads to complications like incontinence-associated dermatitis (IAD). This risk is heightened among patients with cognitive impairment, as delayed diaper changes can worsen skin conditions. Smart diaper sensors provide a promising solution to these challenges. Methods: A 76-year-old woman with cognitive impairment and gait disturbance presented with itchy erythema and rashes consistent with IAD. Conventional treatments offered partial relief but did not resolve the symptoms. The MONIT smart diaper sensor was used in combination with antifungal ointment. The sensor, attached externally to the diaper, monitored moisture levels in real time and sent alerts to a smartphone via Bluetooth when a diaper change was needed. Results: The MONIT system significantly improved skin condition, as evidenced by reduced scores on the incontinence-associated dermatitis and its severity (IADS) instrument and the perineal assessment tool (PAT). Conclusions: The combined use of the MONIT smart diaper sensor and antifungal treatment effectively managed IAD, reducing its severity and preventing complications. Smart diaper sensors represent valuable tools for improving care for sedentary patients with cognitive impairment, offering innovative support for timely interventions.