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[The Experience of Caring for a Child Suffering From Incontinent Dermatitis]
Hong-Ru Lu1, Yung-Ju Chen2, Ya-Fang Ko3
1BSN, RN, Leader, Department of Nursing, Chi Mei Medical Center, Liouying, Taiwan, ROC.
Insights
This case study details nursing care for a child with incontinent dermatitis, focusing on improving skin integrity and reducing caregiver anxiety through family-centered interventions and education.
Area of Science:
- Pediatric Nursing
- Dermatology
- Family Care
Background:
- Incontinent dermatitis in children can stem from improper family care.
- Effective nursing interventions are crucial for managing pediatric skin conditions.
- Caregiver education is vital for sustained treatment success.
Purpose of the Study:
- To describe the nursing experience caring for a child with incontinent dermatitis.
- To identify and address nursing-related problems such as impaired skin integrity, acute pain, and caregiver anxiety.
- To provide a reference for nursing staff caring for similar pediatric cases.
Main Methods:
- Utilized Gordon's 11 functional health parameters for comprehensive data collection.
- Employed observation, physical assessment, direct care, and communication.
- Focused on building rapport and involving the family in the treatment process.
Main Results:
- Successfully managed impaired skin integrity, acute pain, and caregiver anxiety.
- Implemented game therapy and attention-transfer techniques to alleviate pain during wound care.
- Enhanced family confidence and caregiving abilities through targeted education.
Conclusions:
- Family-centered care and education are effective in managing pediatric incontinent dermatitis.
- Individualized nursing interventions improve patient outcomes and caregiver well-being.
- This experience offers valuable insights for nursing practice in pediatric dermatology.
Abstract:
This paper describes the experience of caring for a child with incontinent dermatitis that was caused by improper family care. From March 27, 2015 to April 2, 2015, the authors used Gordon's 11 functional health parameters to collect subjective and objective data on the physical, mental and social conditions of the care recipient. To understand the nursing-related problems, including impaired skin integrity, acute pain, and caregiver anxiety, the data for this case and his mother were conducted by observation, physical assessment, the process of caring, and communication. For the three nursing problems, we established a good relationship with the family by providing individual care, continuously active care, listening, and companionship. In order to reduce the pain during wound dressing, we used game therapy and an attention-transfer technique that was based on the case's preferences. We encouraged family members to participate in treatment in order to ensure that the case continued to receive proper and continuous care after returning home. The authors taught the family members the correct information for treating incontinent dermatitis in order to reduce their concerns and to enhance their confidence and care abilities. We hope that this nursing experience may provide a reference for other nursing staffs when caring for similar cases in order to ensure appropriate quality of care.
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