Investigator: Janet Ursua RNET

Facility: San Antonio Community Hospital

Patient Code: Patient 1

Date of Case Study: 9/5/88 - 9/20/88

The patient is a 67 year old male admitted with uncontrolled diabetes and diarrhea. The patient had a poor attitude about himself and had a lack of interest in his care, which were contributing factors to his outcome. He was incontinent of liquid stool 10-12 times in 24 hours and was previously managed by diapering. He developed an extremely painful area that was excessively bloody, red and macerated on his perirectal and scrotal areas measuring 24 cm x 20 cm. Calmoseptine Ointment was applied Q.I.D. and the pain, maceration and exudation were completely resolved by the 15th day of treatment. The remaining perirectal area was slightly pink measuring 19 cm x 16 cm.