When the skin is subjected to prolonged or continuous exposure to moisture the result can be mild, moderate or severe skin damage known as moisture-associated skin damage (MASD) (Parnham et al, 2020). To ensure that the correct preventative or management strategy is implemented, it is vital to perform holistic assessment which should incorporate tools that help alert practitioners to potential damage and categorise existing skin damage (Parnham et al, 2020). One such tool, Skin Moisture Alert Reporting Tool (S.M.A.R.T), has been endorsed by the National Institute for Health and Care Excellence (NICE, 2019). As a result of assessment, different products will be selected depending on whether the skin is intact or there is mild, moderate or severe skin damage.