by Kathi Thimsen RN, MSN, WOCN
Oliver S. is a resident in a nursing home. You have consulted on his case for management of perineal excoriation and rash. Your orders included the use of a cleanser and a skin protectant (both products are on the facility formulary).
Upon implementation of your orders, the resident complains of severe burning immediately following the application of the cleansing product. Rinsing relieves the complaint but immediately after the protectant is applied, the resident cries out with pain.