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Nappy rash / pressure sore? - Page 2 - Carers UK Forum

Nappy rash / pressure sore?

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When my mum had a sore on her bottom, she told me that the hospital took regular photos of the sore, to see if it was getting better.
Your poor dad, he must be in agony.
The location suggests that is a moisture lesion caused by body fluids and/or sweat.
This is on them, their duty of care and their negligence.

As others have said, try all resources, or get them to, it's their job and their colleagues on hand to help them! Suggest they contact the skin team etc or does it need you to contact Safeguarding, PALS, CQC and your MP for them to do their job in caring for his skin.
It is an absolute crying shame that a patient in hospital has got so much pain from such shoddy care and blatant neglect.

It beggars belief that a hospital is working in such silos when they are meant to be a team working for the health of the patient. My mother was in hospital and I took her appointment letter for the eye clinic at a neighbouring hospital in a few days time, they had seen it in the system and booked her into the eye clinic at that hospital to get checked, but that was pre covid.

My mother has a weak spot of skin and is prone to moisture lesion there, the district nurse comes out, takes a photo for the skin people, suggests pro shield cream but our GP gives derma pro which isn't as good. They do twice weekly inspections and then weekly until it has healed and then use barrier cream to prevent it recurring which stops the sin being grazed off but creates moisture for the moisture lesion....there's no win:win
Cavilon was mentioned by our district nurse and I said we would be guinnea pigs for it but nothing has come of that.
The nurse gave us a tube of pro shield and it usually helps but this time there's not been any improvement. I tried Germolene cream - antiseptic and anaesthetic which probably isn't strong enough and it has helped in the healing and shrinking of the wound, in the space of a week it has reduced by two thirds. There is a painful area around there because the nerves are affected by the tissue damage.

Some tell us to keep it moist and it will heal under the pro shield and others tell us to let it dry out and heal. Stand up and march on the spot at least every hour to let the blood flow round the area - yeah that's ok but when she's so sleepy....
I still can't remember the name of the cream!

When I went Tuesday they'd had him up in the chair my some miracle but his BP had crashed and he was hooked up to various gadgets / fluids etc. I couldn't get into the drawer so a nurse had a look but couldn't find anything. When the HCA and a different nurse came in to help change him I said I wasn't happy as there was now blood on the pad. They went to 3 other wards but no joy. Then they opened the drawer and found a box of the sachets sat there - no idea how the other nurse missed it!

Yesterday I said I wanted to have a look at the sore and a nurse immediately came over and said a new cream had been prescribed and they were hoping it was going to arrive yesterday evening. It's called something-honey and is apparently very expensive so nobody likes to order it. It creates a sort of breathable dressing over the wound so that the pad has less chance of sticking to it - allegedly... we'll see! I don't care how much it costs them - if they had done something sooner it wouldn't have got like this in the first place.
That's probably Manuka Honey.

Was the cream Cavillon by any chance. I remember mum having this.
It had shield in the name I think but I might be able to grab a pic when I go in shortly. The honey one is something like Derma-honey or similar but probably has manuka honey in it. Honey in general has amazing antibacterial and soothing properties both externally and internally so I'm pleased that 'we' are seeing the benefits of more natural remedies again.
Derma Shield? Just checked, there is a product of this name.
Oh Henry's Cat you shouldn't have to be fighting like this, but it's a good job you are.

Henrys Cat wrote:
Sat Jul 16, 2022 11:19 pm
They should be applying either Medihoney or Pro Shield - well, those are the 2 most common/well-known ones. Both are barrier creams.

If you ever see Sudocrem on it - this is not right! It's a pain to wash off (because it's like oil-based) and carers usually slap it on thick. :/ And obviously, as you said, water-based emollients are no good either. It's better off with nothing, in that regard.

I'm not sure if you can buy Medihoney or Pro Shield over the counter or without prescription ?

But I would escalate it further with a "higher up" and say you are concerned of it turning into more than a superficial wound. If it is leaving some blood on the pad then it is obviously already broken skin and not superficial though...

It's terrible but threats of complaints/mentioning "CQC" would probably work, if you really need to get heavy handed and it sounds like you do...

I hope it works out!!!
Henry'scat, Proshield can be bought over the counter or online.

Proshield as you said isn't the best if the skin is broken and there is blood, it might heal eventually over several weeks. I recently tried Germolene cream and it worked well for my mother although the nurse said it's not something they would advocate but was very impressed at the recovery.

The hospital should be supplying the solution to the problem they caused.
Medi Derma Pro is cheaper and a poorer relation, it's not as effective, even the district nurses have said so.
The initial cream they were using, which is the one that they kept saying they were out of, was indeed Medi-Derma S Total Barrier. The new prescription cream is Med-Honey. It is still as it was. There is broken skin (yellowy colour rather than blood) of about 1/2 inch wide and 1.5 inches long. The area around it by about 4-5 inches is red. Every time I go in I make a point of asking to see the sore even if I'm not one of the ones changing him. I don't know how quickly it SHOULD heal with a good cream on it. If it was my baby I'd paint the area with egg white for when the nappy was on but leave them bare-bummed as much as possible. Obviously I can't do either of those things with Dad! They do put a pillow under one side of him but it's in the gluteal cleft (which I had to Google...) and he's lost so much weight that there's a lot of excess skin there. Personally I think he'd be better having a dressing on it and then using a convee to stop the area getting wet but there are so many issues that I'm struggling with which battles to choose!