Tuesday, March 20, 2012

Pediatric Nursing Care Plan for Diaper Rash

Pediatric Nursing Care Plan for Diaper Rash 

Definition of Diaper Rash

Diaper rash is a skin irritation on baby's buttocks area. This can happen if the diaper is wet, too late to be replaced, the diaper is too coarse and does not absorb sweat, fungal or bacterial infections or even eczema

Diaper rash is a skin problem in genital area is characterized by the emergence of baby patches of red skin, usually occurs in babies who have sensitive skin and prone to irritation. These spots will disappear within a few days when washed with warm water, and spread with a special lotion or diaper rash cream, diapers, or by removing some of the time.

Diaper rash is a common disorder found in infants. This disorder is a lot of babies aged less than 15 months, especially in the age range of 8-10 months.

Etiology of Diaper Rash

Rashes caused by roseola and erythema infectiosum (fith disease) is not harmful and usually subside without treatment. The rash caused by measles, rubella, and chickenpox become common for children to get the vaccine.

Some of the factors causing diaper rash (diaper rash, diaper dermatitis, napkin dermatitis), among others:
  • Irritation or friction between the skin with diaper.
  • Humidity factor.
  • Lack of maintaining hygiene. infrequently changed diapers too long or not be replaced after a pee or have a bowel (feces).
  • Infection of micro-organisms (mainly fungi and bacterial infections)
  • Allergy diaper material.
  • Disorders of sweat glands in the diaper-covered area.
Clinical Symptoms of Diaper Rash

Symptoms include red rash or blisters on the skin in the diaper area covered. In addition, the baby usually looks fussy, especially when replacing the diaper. Babies may also cry when the skin in the diaper area covered is washed or touched.
There are patches of redness on the buttocks due to irritation of the diaper.

Treatment of Diaper Rash
  1. Frequently change the diaper. Do not let the diaper was wet, because it holds a lot of urine for long wear baby. Prolonged contact of urine or feces by the baby's skin can cause diaper rash.
  2. When cleaning your baby, pat the area normally covered with diapers (buttocks, thighs, groin, and genital area of ​​a baby) gently with a clean towel. Try to avoid rubbing the area hard.
  3. Occasionally let the baby butt is open (no diaper) for a while. This may be useful to keep the diaper area dry and clean.
  4. Be careful in choosing diapers, because some types of diapers, diaper rash can be stimulating. If that happens, change the diapers of other brands that are more suitable.
  5. If your baby is wearing cloth diapers are used repeatedly, wash the cloth diapers to detergent formula is not too hard. Avoid using fabric softener, because the perfume in softener can irritate baby's skin. Be sure to rinse well so that the diaper detergent is left in the diaper.
  6. Avoid installing the diaper is too strong. Keep the diaper with no space between the baby's skin.

Pediatric Nursing Care Plan for Diaper Rash

Assessment for Diaper Rash

The identity of the patient and family, the pattern of sensory, physical examination (general health status, head to toe examination, investigation), checking vital signs and history of drug use.

Nursing Diagnosis for Diaper Rash

Impaired Physical Mobility related to decubitus

Risk for Infection related to incontinensia
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