Hi there, thanks for reading my post.
Just for context let me start by saying that I have been an RN (med/surg) for THREE WHOLE DAYS now and am looking for some opinions/advice regarding a patient I had the other night.
During my initial assessment of a male patient (who had been in the hospital for 3 days) the other evening, I discovered he had a fairly extensive case of Contact Dermatitis (CD) in the groin area, which makes me wonder about the following:
1. By the amount of body surface area affected, in addition to the fact that I did not see any signs of previous onitment being applied, would it be fair to conclude that the rash had been missed up until this point? I think what I am trying to get at is, if you catch CD early, can you stop the spread of it? While common sense tells me yes, I am looking for experienced confirmation or correction.
2. Treatment: I am thinking I should wash and dry the area first (with luke warm water) and then apply something like Critic Aid mositure barrier. Would this be the proper treatment, or am I completely off base?
3. How often are you going to retreat the area?
Thanks so much for any advice you can give!
Upon further reflection, I'm not 100% sure I've posted this under the right area, but I was thinking that if anyone knew how to properly treat the skin, it would be wound care nurses.
Mar 20, '13
Yes call doctor it needs to be assessed and diagnosed first if no diagnosis. Fungal, infectious and allergic rashes can appear and exacerbate quickly hence the need to be evaluated and diagnosed. You don't want to exacerbate the condition. One cannot make treatment recommendations without visualizing the skin.
Last edit by JustBeachyNurse on Mar 20, '13