Bullous pemphigoid - page 2

Have any of you guys taken care of anyone with a disorder named bullous pemphigoid? It is horrible! CNAs are asking if what this person has is contageous and if it is going to kill this resident.... Read More

  1. by   Nursebaby23
    The only thing she has for itching is atarax. And like I said, they recently d/c'd the kenalog and started the bleach solution (a can't think of the name of the treatment). She has been takeing Kelflex for 1 and a 1/2 months now. When this thing first started, I admit that I thought it was scabies. I don't know what it is about this particular hall in this building, but people are slipping through the cracks left and right. I admit that I do work in a substandart LTC facility. I'm talking roaches, lice outbreaks, bed bugs in mattresses. I am so tempted to call the state and blab. When this lady first broke out, I thought it was from a lack of care. I know the nature of this disorder, but I just wonder what caused the initial outbreak. However, as soon as I graduate I running as far away from this place as I can!!!
  2. by   GingerSue
    but people are slipping through the cracks left and right. I admit that I do work in a substandart LTC facility. I'm talking roaches, lice outbreaks, bed bugs in mattresses. I am so tempted to call the state and blab. When this lady first broke out, I thought it was from a lack of care. I know the nature of this disorder, but I just wonder what caused the initial outbreak. However, as soon as I graduate I running as far away from this place as I can!!![/QUOTE]
    Is there someone who could come to inspect this place in order to make some improvements, some recommendations? Roaches, lice, and bedbugs - surely something can be done!! I would notify someone.
  3. by   bellcollector
    You may be these poor people's only hope. Don't always assume someone will report it, be that someone. Don't wait report it immediately. Would anyone of us want to be cared for under such conditions?
  4. by   GingerSue
    Quote from Nursebaby23
    The only thing she has for itching is atarax. And like I said, they recently d/c'd the kenalog and started the bleach solution (a can't think of the name of the treatment). She has been takeing Kelflex for 1 and a 1/2 months now. When this thing first started, I admit that I thought it was scabies. I don't know what it is about this particular hall in this building, but people are slipping through the cracks left and right. I admit that I do work in a substandart LTC facility. I'm talking roaches, lice outbreaks, bed bugs in mattresses. I am so tempted to call the state and blab. When this lady first broke out, I thought it was from a lack of care. I know the nature of this disorder, but I just wonder what caused the initial outbreak. However, as soon as I graduate I running as far away from this place as I can!!!
    I'm find myself still thinking about the situation you've described as above. I guess I'm hoping that there's been a way to communicate these observations to someone in charge. These problems need attention, and if they aren't reported, how will they be solved? If the people in charge don't know about the problems, then how would they realize they need to do something?
  5. by   edeverges
    Quote from GingerSue
    I'm find myself still thinking about the situation you've described as above. I guess I'm hoping that there's been a way to communicate these observations to someone in charge. These problems need attention, and if they aren't reported, how will they be solved? If the people in charge don't know about the problems, then how would they realize they need to do something?
    a good administrator would make rounds everyday and at least review what i call "hot files", i.e., the patients that had their physicians called during the day to find out why the physician was called. i would also recommend that a quality assurance program be put in place to address issues of concern and put a process in place and not just put out "fires". finally trining should be provided to staff to address any issues staff may have to address their concerns
    Last edit by edeverges on Dec 30, '04 : Reason: p.s.
  6. by   jaimemds
    I had a pt. with this once, it was not contagious at first, but later, when they had multiple open areas from the blisters rupturing, he contracted MRSA!!! So be careful and monitor
  7. by   edeverges
    Quote from jaimemds
    I had a pt. with this once, it was not contagious at first, but later, when they had multiple open areas from the blisters rupturing, he contracted MRSA!!! So be careful and monitor
    this is very good advise. i was also wondering if you have heard of aroma therapy. our division recently had an inservice on aroma therapy. i recently heard that aroma therapy may help control MRSA. unfortunately i heard this remark after the inservice. after the holidays i hope to find out more about aroma therapy and MRSA.
  8. by   jaimemds
    I have never heard of using aromatherapy for MRSA, but it does sound interesting. I will have to look into it.
  9. by   MandyInMS
    These pts are put on reverse isolation..very high risk for infection..
    had several pts with this..different treatments as far as skin care..I think it's a trial and error thing to see what works best.I can't immagine how uncomfortable they are.One poor lady had areas on every part of her body, very difficult to manage, anywhere you touched her was a leison, oozing,painful,she never could feel really 'clean'...so sad :/
  10. by   Nursebaby23
    Well, this lady now has MRSA in her wounds. CNA's are refusing to work with her because she is in isolation and people must gown, glove, and mask before entering her room. She looks horrible! She looks like she has been in a fire. I feel so bad for her. The family has filed multiple grievances and has called the "state". I just don't know what's going to come of this situation.

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