Irritant nappy rash

• are you looking for something for yourself?

• what symptoms have you been experiencing - can i take a look in the consultation room - describe the appearance

• how long are the symptoms been present

• have u experienced this before

• have u tried anything to treat this

• do u have any medical conditions

• are u taking any medications or any vitamins or supplements at the moment

• do u have any allergies

• To pick the best treatment for you or since your going to be touching this product is there a possibility that you may be pregnant or breastfeeding?

WHAMMA PB

• have you found the rash in the folds of the skin

symptom based questions

• have there been any bleeding

• have there been any pus or crusting

• has it started to spread to other parts of the body

• have she experience a fever lately

• have you noticed a change in behaviour

referral questions

• have you used any scented wipes?

• any new body wash?

• have you used any fragrances in the area?

• how often to you find yourself changing the nappy

• has she had any diarrhoea recently

• has she been teething

trigger based questions

• I believe its looks like the baby has a condition nappy rash

• in this conditon the baby’s skin very delicate, and when it is trapped inside a warm, damp nappy, the skin becomes soft and vulnerable. mixing it with found in pee and poo, it creates an irritating environment with friction that breaks down the skin's natural protective barrier. this is very common and has nothing to do with your parenting

• this causes this red rash, that affects the areas that are incontact with the nappy, so it doesnt effect the spaces between the cheeks, doesnt have a defined border and tender

• this can be used by irritation to wipes, new body washes, diarrhoea, acidic foods and reduced nappy changes

• based on this what are you looking for in terms of treatment

NELT

• based on preferences - i would recommend using a thick water repellent cream

• this includes zinc oxide which will help to soothe the area, dimethicone which can is water resistance preventing excess moisture from disrupting the delicate skin surface

• benzalkonium or chlorohexidine - which can help to prevent an infection

• aliminum chlorohydrate - help to reduce the sweating and prevent the wetness

• you want to apply a thick layer on bottom, at each nappy change

• this product is usually quite well tolerated

• if experiencing body, start to affect the skin folds - it would be fungal and come back and we can treat that using an antifungal, baby starts to have any bleeding, pus, crusting, fever, change in behaviour becoming sluggish i would recommend seeing the doctor.

• in the future i would recommend using absorbent nappies instead, that would help to soak up the excess moisture, better if they have diarrhoea prevent damaging the skins barrier, i would also recommend using absorbent powder, which will also help to absorb powder, nappy free time to allow air exposure to the area prevent wetness, using soap substitute, dont disrupt the normal bacteria of the skin dont use fragrances as it can aggrevate and disrupt the normal flora

IDARL