For quite a few years now I have had a problem with moisture affecting the skin folds around the inside leg approaching the bottom of the buttocks. When the weather warms up the skin will often become irritated and sometimes it cracks and may bleed slightly. However, it's never given me too much of a problem and I've never had to stay in bed... until now.
We had some very hot weather in June and July and I think this caused me to sweat slightly more underneath me. I wasn't surprised when I started getting slightly sore. However, we did try to keep on top of it but then some very hot weather came along at the beginning of July. With the benefit of hindsight, I should have stayed in on the day that all this happened. I went to a barbecue at the local college. Also that morning my carer puts a little bit more air in my Roho cushion. The college is probably a quarter of a mile from where I live. However, it's quite a bumpy ride which means you are jumping around a little bit when travelling in the chair.
During the barbecue, there wasn't really much chance for me to get out of the sun. So basically, I just had to sit in direct sunlight for probably well over an hour. After the barbecue, I made my way home again.
On the Friday morning my carer found a horrible black mark in the place where the skin was looking sore. It wasn't a circular mark like you would find if you are suffering from undue pressure on a bony prominence, it was more like an elongated mark which almost resembled a slug. Because the skin had been under attack from sweat and therefore had been compromised I believe a slightly overinflated cushion along with a bumpy ride was too much for the sore area and I ended up literally killing the top layer of skin, probably with a little bit of friction from the journey. I really don't know, that's the only thing I can think of. All I do know is I've never had a problem with pressure in this area, that there are no bony prominences so you wouldn't normally develop pressure ulcers in this area of your backside anyway.
The district nurses came to see me straightaway and it was then I decided it was probably best to stay in bed.
A tissue viability nurse came to see me a few days later and she confirmed that this problem was caused by moisture and not pressure which was a relief to hear. It was then that she mentioned a product called ProShield which is a fairly new product on the market in the UK. It comes in the form of a cleansing spray and a barrier cream. What makes the barrier cream different from other barrier creams is it can be used on both in tax and broken skin. No other barrier cream can be used in this way from what I have read. I suppose I could have got straight up there and then using pro shield and I actually strongly believe I would have been okay. However, it's always been a policy that I stay in bed until any broken areas on my bottom are healed.
It's been six weeks since it happened and everything is almost healed completely. I think I will probably start to get up in the next few days and I will be using ProShield barrier cream from the word go.
I will keep this post updated with my progress and at some stage in the next few weeks will let you all know how I'm getting on and how well this product is working.