Patient Care and Monitoring Diaper Dermatitis

1. Assess rash symptoms. Determine the level of severity—is there a possibility of a secondary fungal or bacterial infection?

2. Identify signs and symptoms which require immediate physician referral.

3. Inquire about the patient's history, including any similar rashes in the past.

4. Educate the caregiver on the importance of frequent diaper changes and proper hygiene.

5. Obtain patient allergy status.

6. Discuss labs that may be necessary if a secondary infection is suspected (cultures, biopsies).

7. Develop a treatment regimen for the patient, including a plan for assessing improvement of the condition.

8. Provide patient education about diaper rash etiology, treatment, and prevention:

a. What is diaper rash and how does it develop? What exacerbates diaper rash?

b. Symptoms to report to a physician (blistering, oozing, bleeding, changes in rash or no improvement in symptoms within 2-3 days).

c. Available treatment options, including proper usage instructions and potential side effects.

d. Importance of treatment compliance.

e. Prevention measures.

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