WOUND & SKIN CARE: Perineal dermatitis or pressure ulcer: How can you tell?
Karen Zulkowski RN, CWS, DNS
Catherine Ratliff GNP, CWOCN, PhD

$3.95
Nursing2014
December 2006 
Volume 36  Number 12
Pages 22 - 23
 
  PDF Version Available!

ABSTRACT

Zulkowski, Karen RN, CWS, DNS; Ratliff, Catherine GNP, CWOCN, PhD

UNRESPONSIVE, REX NOLAN, 70, is in your unit from the ICU after suffering a closed head injury in a motor-vehicle crash. He's incontinent of stool and has an indwelling urinary catheter. When you assess him, you see perianal redness (see Figure 1 ). A moisture barrier cream is ordered and Mr. Nolan is placed on a low-air-loss mattress. Within 5 days, despite treatment with the barrier ointment, he develops an open area on his buttocks (see Figure 2 ). Did he have perineal dermatitis on admission or had a pressure ulcer been developing? Or both?

Figure 1. No caption available. Figure 2. No caption available.

Distinguishing skin conditions can be challenging, even for an expert. But a correct diagnosis is crucial to treating the condition promptly and appropriately. Perineal dermatitis and early signs of a pressure ulcer can both appear as nonblanchable redness around the coccyx. Both conditions ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Dogs as Pets, Visitors, Therapists and Assistants
Home Healthcare Nurse, November/December 2014
Free access will expire on January 5, 2015.


Tracheostomy Care
Nursing2014 Critical Care, November 2014
Free access will expire on December 22, 2014.


Effective management of ARDS
The Nurse Practitioner, 13December 2014
Free access will expire on December 22, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events