Perineal Care Reflection

I was assigned to patient B.P. She was admitted on September 6th from RMC. Her admitting diagnoses are acute embolism and thrombosis of unspecified deep veins of lower extremities; Unspecified Dementia without behavioral disturbance; Major Depressive Disorder, Single episode; Intervertebral Disc Degeneration, Lumbar region; Essential hypertension; Vitamin Deficiency, Dorsalgia, and pain. She had two patches covering wounds on forearms bilaterally. There was an order in her chart for occupational therapy and physical therapy, but interacting with her throughout the day, I wonder how often she accomplishes it. They also have behavioral monitoring and side effect evaluation of the psychotropic medications she is taking. B.P seemed very confused through the whole day. In the morning I went in and introduced myself and asked her some questions to evaluate her mental status and she immediately brought up her headache. I asked her if she knew where she was and she was unable to answer that along with what the date was. Clarissa then helped me change her depends and she was able to

She had mentioned that she felt a pinching and felt uncomfortable at times. It is very important to provide good perineal care at all ages. Good technique can potentially prevent incontinence-associated dermatitis in older adults. Incontinence can seriously impact skin integrity, increasing their risk of developing an infection or wound. IAD is caused through prolonged exposure to moisture from urinary or fecal incontinence. Some interventions that can prevent IAD would be to cleanse the skin and remove contaminates in a timely manner, repair the skin if there is breakdown, and protect the skin with a barrier cream (Payne, 2017). Improvements for the facility would be to maybe remind the staff to perform hourly assessments of individuals who are incontinent to urine or stool. Maybe that way prevention of skin breakdown would