SOCI 3630 Lecture Notes - Lecture 59: Contact Dermatitis, Diapering, Mecha
4 Jun 2020
School
Department
Course
Professor
Document Summary
List issues which are red alerts" relevant to this condition. Patient assessment: think about issues that need to be identified because they are important to this condition. Primary diaper dermatitis on convex surface + nothing in skin folds/creases. Candida diaper dermatitis always involves inguinal creases/skin folds. Classically have beefy red rash with satellite pustules. Common populations: anyone who wears diapers- infants + incontinent elderly, comorbid conditions: Infants with: atopic dermatitis, seborrheic dermatitis, psoriasis, + those born to immuno- compromised moms, incontinent, immobilized patients. 7 days & no improvement. 7- 10 d & not healed. Oozing blisters or pus present. Systemic symptoms; fever, diarrhea, rash, lesions elsewhere. Signs of immunodeficiency, deep ulceration, Associated w/ another disease state. Gentle (soft cloth) + minimal rubbing. Mild soap or soapless clnsr or o/w lotion feces removal. Avoid irritant surfactants, irrtants, fragrance, alcohol. Diaper wipes: (contain cleansing agents &/or emollients)- > Erythema & surface roughness more than water + cotton wash cloth.
