ProShield Foam & Spray Incontinent Cleanser — 8 oz

Item#: 0064-0150-08  |  By Smith & Nephew / Healthpoint  |  FSA/HSA Eligible

Poloxamer 188 — Cleans Without Drying  |  Solubilizer Breaks Down Dried Stool — No Scrubbing Needed  |  Dual Foam/Spray Nozzle  |  No-Rinse  |  Glycerin 2.5% Moisturizer  |  pH-Balanced  |  Scented  |  Total Body & Shampoo Use  |  8 fl oz Pump  |  Each or Case of 12

ProShield Foam & Spray Incontinent Cleanser is a gentle, pH-balanced no-rinse cleanser with two clinical properties that distinguish it from standard perineal cleansers: a Poloxamer 188 surfactant system that cleans skin without the drying, irritating effect of conventional soap-based surfactants, and a solubilizer (Laureth-23) that chemically breaks down dried fecal matter so it can be wiped away without scrubbing — protecting the fragile perineal skin from the mechanical friction trauma that scrubbing causes. The unique dual-mode pump nozzle converts the same bottle between foam dispensing (controlled, concentrated coverage at the application site) and spray dispensing (wider, touchless coverage for larger body areas or patients who benefit from reduced contact). Glycerin at 2.5% moisturizes while the surfactant cleans. For incontinence care, total body cleansing, and use as a shampoo. Scented. No rinse needed. Step 1 in the ProShield skin care system. 8 fl oz pump bottle. Item# 0064-0150-08. Each or case of 12. By Smith & Nephew / Healthpoint.

Specifications

Ingredients

How to Use

To dispense as foam: Turn the nozzle to the "on" position and pull the tip forward. Pump to dispense foam directly onto the skin or onto a wipe.

To dispense as spray: Push the tip back. Pump to spray onto the affected area for wider, more touchless coverage.

Prime the sprayer by pumping once or twice before first use if using a new bottle.

1. Select foam or spray mode per the above.
2. Apply ProShield Foam & Spray Cleanser to the soiled or affected area.
3. Allow a brief moment for the solubilizer to begin breaking down dried or adhered fecal matter if present — this reduces the friction needed during the next step.
4. Gently wipe the area with a soft cloth, wipe, or glove. Stubborn dried soiling should release without scrubbing.
5. Pat dry — no rinsing required.
6. Apply ProShield Plus barrier cream or an appropriate protectant as directed.

Key Features

• Poloxamer 188 — cleans without the drying effect of soap — Poloxamer 188 is a non-ionic block copolymer surfactant — a molecule with a hydrophilic (water-attracting) center block and two hydrophobic (oil-attracting) outer blocks — that emulsifies and lifts soiling from the skin surface; unlike anionic soap surfactants (which are negatively charged and interact aggressively with the skin's own lipid-protein membrane structures), Poloxamer 188 is charge-neutral and does not strip the skin's natural oils or disrupt the intercellular lipid matrix during cleansing; this non-drying mechanism makes it appropriate for the repeat-daily perineal cleansing that incontinence care requires, where conventional soap surfactants would progressively deplete the barrier lipid layer with each use
• Laureth-23 solubilizer — breaks down dried stool without scrubbing — Laureth-23 is a long-chain ethoxylated fatty alcohol with strong solubilizing properties for organic material; in the context of incontinence care, dried or adherent fecal material that has become encrusted on the perineal skin is one of the most challenging and damaging aspects of high-frequency incontinence management; removing it without solubilization requires mechanical scrubbing, which applies friction and shear force to skin that may already be inflamed, macerated, or denuded; Laureth-23 chemically dissolves the dried material so it can be lifted away with light wiping, dramatically reducing the mechanical trauma to the skin surface at what would otherwise be the most damaging moment of the care event
• Dual foam/spray nozzle — same bottle, two delivery modes — the pump nozzle converts between foam and spray modes without any attachments or tools; foam mode is appropriate for point-of-care application directly to the perineal area, producing a controlled, concentrated foam that stays where it is placed without dripping; spray mode is appropriate for larger body surface areas, for patients who benefit from reduced direct contact during application, or for speed of coverage during bed-bathing; the dual-mode capability means one product serves both the perineal care use case and the full-body cleansing use case
• 2.5% glycerin — moisturizes during cleansing — glycerin is a humectant that draws moisture from the environment and from deeper skin layers into the stratum corneum; at 2.5% in the cleanser formulation, it provides meaningful moisturizing activity during each cleaning event, counteracting the desiccation effect that even gentle surfactants can cause
• No-rinse formula — no water access or rinsing step required; reduces care time and eliminates water-related skin exposure
• Total body cleanser and shampoo — safe for head-to-toe use, including as a shampoo, for patients who receive complete bed baths
• Step 1 in the ProShield care system — ProShield Foam & Spray Cleanser is the cleanse step; follow with ProShield Plus skin protectant for the protect step
• pH-balanced | Scented | Case of 12 available | By Smith & Nephew / Healthpoint

Clinical FAQs

What makes Poloxamer 188 a better surfactant for fragile skin than conventional soap surfactants?

The key difference between Poloxamer 188 and conventional soap surfactants is charge. Most surfactants used in standard soaps and cleansers are anionic — they carry a negative charge, which is what makes them effective at interacting with the bilayer membrane structures of soiling, bacteria, and unfortunately also the skin's own intercellular lipids. The electrostatic interaction between anionic surfactants and skin lipid head groups disrupts the lamellar structure of the stratum corneum lipid matrix, contributing to the dryness and irritation that frequent washing with conventional products causes on fragile skin. Poloxamer 188 is non-ionic — it carries no charge. Its cleaning mechanism relies entirely on the physical hydrophobic-hydrophilic block structure to emulsify soiling, without the electrostatic disruption of anionic surfactants. This is why Poloxamer 188 is used in a range of sensitive-skin pharmaceutical and medical applications beyond incontinence care, including as an excipient in medications and as a wound-washing agent — its non-ionic character means it disrupts biological membranes less aggressively than charged surfactants. For perineal skin that is already under mechanical and chemical stress from frequent incontinence exposure, the selection of a non-ionic surfactant is a meaningful reduction in the cleansing-related contribution to barrier disruption.

How does the solubilizer work on dried stool, and why is reducing friction at this step important?

When fecal matter dries on skin — which occurs between incontinence episodes when the skin surface dries between changes, or in patients with intermittent incontinence — the organic material in the stool (proteins, mucins, bile salts, fats) undergoes partial dehydration and adheres to the stratum corneum surface with greater mechanical resistance than fresh stool. Removing this dried material without solubilization typically requires the caregiver to apply firm wiping pressure with a cloth or wipe — rubbing the dry, possibly already-inflamed perineal skin. This friction is one of the most injurious routine actions in incontinence care: it applies shear force directly to the skin at its most vulnerable point, where inflammation, maceration, or early denudation may be present. Laureth-23, the solubilizer in ProShield Foam & Spray, rehydrates and emulsifies the dried organic material — the stool components are chemically disrupted and released from the skin surface, allowing the caregiver to wipe the area with light pressure rather than scrubbing. The clinical significance is the reduction in friction at the removal step: patients with severe or chronic diarrhea, patients with heavy fecal incontinence, and patients whose perineal skin is already damaged benefit most from a cleansing system that removes the most difficult soiling — dried adherent feces — without the friction that scrubbing would cause.

When should I use ProShield Foam & Spray rather than the TENA Cleansing Cream or THERA Antimicrobial Cleanser?

All three no-rinse cleansers in the MDS catalog address incontinence skin care but serve somewhat different clinical profiles. The TENA Cleansing Cream (64410–64435) is an emollient cream format optimized for moisturizing and barrier maintenance — its primary strength is the emollient-affinity cleansing mechanism that deposits lipids on the skin rather than stripping them, making it the gentlest and most nourishing option for routine incontinence care on fragile aging skin where barrier integrity is the primary concern. The THERA Antimicrobial Cleanser (53-AC4/8) contains Benzalkonium Chloride 0.13% and the SAFFLEX vitamin complex, making it the choice when active antimicrobial protection — killing bacteria to control odor or infection risk — is the clinical priority alongside cleansing. ProShield Foam & Spray is the appropriate choice when the primary challenge is removing dried or adherent fecal matter without friction trauma: the Laureth-23 solubilizer is a specific formulation feature that neither the TENA cream nor the THERA antimicrobial cleanser provides; for patients with severe or chronic diarrhea, C. difficile-associated diarrhea, or heavy fecal incontinence where dried stool adhesion is a routine problem, ProShield's solubilizer provides meaningful clinical benefit in terms of reduced skin friction at each care event. The dual foam/spray delivery also makes ProShield more versatile for full-body bed bathing than a cream-format cleanser. Call us at 1-866-218-0902 for guidance on selecting the right cleanser for a specific patient's incontinence pattern and skin status.

Questions about ProShield Foam & Spray, the ProShield Plus barrier cream, or building a complete incontinence skin care protocol? Call our product specialists: 1-866-218-0902  |  Mon–Fri 9am–5pm, Sat 9am–3pm EST