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How To Avoid Skin Abrasion On Buttocks When Bed Ridden?
Question: My Mom who is 87yrs old is suffering from incontinence and has a skin abrasion on her right lower buttocks close to the great divide. Mom is wearing a Depends for security and it seems that where the padding line ends on the rear portion of the Depends that this may be causing the redness and very small raw skin areas(3) that are causing her discomfort. I tried placing a folded "chuck" (disposable pad) between her skin and the Depends to give her relief but I do not see any improvement. I suggested that she turn on her side when she goes to sleep in order to relieve the friction but it is difficult for her to stay that way.
Is there any cream or anything else I can do to relieve her discomfort.
Thank you in advance for your advice.
Brief Answer:
Nechange diaper,skin care, urologist's advice
Detailed Answer:
XXXX
Thanks for the query.
Urinary incontinence is mostly side effect of child bearing stress ,weakening the pelvic support in females.It forms a uncomfortable / infection prone hurdle in old age health & management I understand your concern.
Your mother is 86-Is she still moving or bed ridden? the management differs accordingly.
The few things I would suggest are-
*Avoid friction.
- by changing position every 2 hours.
- Change the size/ type of Diaper she is using ,to avoid friction with the
skin.(Different shields,protective undergarments,diapers are avialable)
- In case she is bed ridden, a small incontinence pad with a thick adsorbant underspread can be used.
- repeated chnage, use of dis infeca=tants in the room/surroundings , cleanliness are demanded in this case.
* self retaining catheter( Foly's catheter) can be used alternatively . It is to be inserted under strict aseptic precaustions & maintained under expert guidence
* To avoid urine infection is greatest challenge in such patient-so to be under an expert Urologist doctor's care is the only option.
*Skin care- a Dry & unhealthy skin is more prone to pressure /friction.
Keep skin clean. put antibiotic ointment,if it is swollen& has infection.
Apply soothing creame/ Callendulla ointment for bruised skin.
* A diet with good nutrition/vitamin( VitaminA,vit C vit. B )suplement is to
be assured.
* Apart from this regular medication for her health problems specially
diabetes are essential.
In case your mother is otherwise fit she should go for -
- Timevoiding- to void urine before the leakage- the time can be set after observing leakage pattern.
- Kegle's pelvic exercises,
- Plastig vaginal cones of increasing weightare used for involuntory muscle contractions of pelvic muscles ,thereby strengthening pelvic floor.
* Medicines - certain medicines do help, they need to be prescribed by expert after evaluation of patien's condition.
I hope the answer has furnished sufficient information to help you. any further query will be answered by me with pleasure.
Thanks
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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