I'm a senior student and my patient this week was a very obese, trached woman with C-diff. Her skin was in very bad shape due to moisture, feces and yeast in her skin folds and peri area. She couldn't tolerate the wiping deep in the folds by the end of my day (pain & rolling would cause her to de-sat) and I left clinical feeling that in trying to keep her clean, we caused her a lot of pain.
We used the ordered nystatin powder, barrier cream and butt paste but with the diarrhea, we were still cleaning her and changing the bed every hour. We repositioned Q2, and used some linen laid between her legs and under her panniculus to help keep her dry. She was red all over and starting to get pressure sores.
Has anyone found any tricks or methods to protect the skin in this situation? Thanks