case study pointed toward common conditions including irritant contact dermatitis W r i t i n g

case study pointed toward common conditions including irritant contact dermatitis W r i t i n g

I’m working on a nursing case study and need support to help me learn.

Clinical Week 7

My experience for this week was very interesting because I was confident enough to start assessing my patients without the presence of my preceptor in the exam room with me. While it felt great to put my clinical skills to the test, but it did not come without any challenges. My greatest challenge was being able to assess children’s health conditions and make interventions to treat them adequately and accurately. This is because children tend to exhibit certain particularities and it is not immediately possible for health care providers to establish the problem because children and toddlers are not able to describe their health conditions (Burns et al., 2017). Additionally, I did not have the requisite experience that is needed to effectively take care of pediatric patients. However, I was able to work independently and overcome my fears as I focused on the provision of care to the patients.

Assessment of a Patient

My greatest experience came from an 8-month-old Caucasian male patient whose chief clinical complaint was skin lesion due to improper use of diapers. The primary symptoms that the patient presented with was a red rash which was on his buttocks (Yu et al., 2016). The patient was brought by his mother who explained that the child had developed a rash on the diaper area after she started using a new type of diaper. Additionally, the mother noted that three days ago she left the baby with her older sister who had forgotten to change the baby’s diaper.

From the assessment, I was able to note that the baby had experienced diaper dermatitis. My treatment plan for this case included educating the mother on the appropriate way to use diapers. This includes ensuring that the diaper area is always clean and dry. Additionally, the diapers should be changed frequently, and the diaper area washed gently using mild soap and water. It is also recommended to use a barrier ointment containing zinc oxide or Vitamin A and D. Ideally, any toddler can potentially develop diaper dermatitis if the baby diaper is not changed as often as required or if the baby experiences frequent bowel movements and/or diarrhea (Keshishyan et al., 2019). In this regard, it is important for any mother to ensure that the diaper area of the child is kept clean and dry and also change the baby diaper frequently. The differential diagnosis for this case study pointed toward common conditions including irritant contact dermatitis, atopic dermatitis or candidiasis.

What I Learned from this Week’s Clinical Experience

From this week’s clinical experience, I learned a lot of things about the provision of health care services to pediatric patients. I learned that unlike adult patients, caring for children can be very challenging because children are not able to describe how they are feeling. In this case, the health care provider must rely on their physical assessment and examination when making the diagnosis. I also learned that there is need to provide health education to people in communities so that they can understand how to take care of themselves and live healthy lives. I noticed that some simple things which are often assumed such as proper wearing of baby diapers can have the most devastating effects.

References

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Maaks, D. L. G. (2017). Pediatric primary care – e-book (6th ed.). Saunders.

Keshishyan, E. S., Sakharova, E. S., & Afanasyeva, N. V. (2019). Diaper dermatitis. The role of a nurse in the care of a baby with diaper dermatitis. Medical Council, 2, 33–37. https://doi.org/10.21518/2079-701x-2019-2-33-37 (Links to an external site.)

Yu, J. D., Treat, J., Chaney, K., & Brod, B. (2016). Potential allergens in disposable diaper wipes, topical diaper preparations, and disposable diapers. Dermatitis, 27(3), 110–118. https://doi.org/10.1097/der.0000000000000177 (Links to an external site.)