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Management of chronic, resistive scabies: a case study
Geriatric Nursing (New York, N.Y.)
|September 1, 1995
Summary
Resolving chronic scabies in elderly patients can be challenging, requiring multiple treatments over nine months. Early recognition and thorough skin assessments are crucial for effective scabies management in nursing homes.
Area of Science:
- Dermatology
- Geriatric Medicine
- Infectious Disease
Background:
- Scabies is a contagious skin infestation that can be difficult to treat, especially in elderly individuals.
- Chronic and resistant scabies cases pose significant challenges in healthcare settings.
- Elderly patients may present with atypical scabies distributions, complicating diagnosis.
Observation:
- A case study of Mr. C., an elderly patient with chronic, highly resistant scabies.
- The patient required nine months and seven treatments with scabicidal lotions/creams.
- Additional medications were administered to manage the skin condition.
Findings:
- Treatment for scabies is resource-intensive, involving costs for medications, supplies, and nursing care.
- Prophylactic treatment for other residents is also necessary, increasing institutional burden.
- Atypical scabies presentation in the elderly can delay diagnosis and treatment.
Implications:
- Nurses must perform thorough monthly skin assessments on all nursing home residents.
- Early identification of scabies signs is essential for timely intervention.
- Awareness of atypical scabies distribution in the elderly is critical for healthcare providers.