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I've gone to the baby section in the grocery store and tried Destin, but not sure that is appropriate for an elderly person. Seems to me there would be a difference.
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There is a line of creams for elder skin care, incontinence care -- Medline Remedy Skin Care. There is a variety of protective formulas. I mostly used A&D (still use that for my own skin now, I like it so much), but a nurse or hospital had given me some of the Medline Remedy creams. They are very good and intended for use on elderly skin that breaks down more easily.
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If you are concerned about it being appropriate then ask her doctor. Desitin if safe for a baby's bottom I would think that would also be the case with elder bottoms. I have read other places on this site that some use "Butt Paste", " Aquaphor". When my kids were babies, I used a mixture of baking soda and water to clean them up. It worked beautifully. I do not remember how much baking soda to water but is was not a paste, but mostly water.
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It depends on the rash. I've tried Butt Paste on mom. Didn't work. With rashes or beginnings of bedsores, vary the topical. Sometimes, I use Calmoseptine. Other times, it's Creamy Desitin (easy on, easy off). The doctors here recommend A&D ointment. I have all 4. I alternate their use - depending on the rash/sore. When the Desitin doesn't work, I try A&D. If that doesn't work, Calmoseptine (which dries out the rash but also protects it from wetness.)
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I should have added, most times, when using it on the parents, for large areas - I use the A&D ointment. If they have redness in their private area, I use Desitin. If the redness is becoming a sore (pus), I use the Calmoseptine. So, most of what I have in supply is the A&D ointment for prevention, barrier from the wetness.
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I have used A & D, alternating with generic Desitin. The ingredients are totally different--Destin has the Zinc in a fish oil base, and A/D has petroleum-based. Doctor claims anything petroleum based will THIN the skin, so doesn't recommend continuous use. Hope I got that right. Never heard of any baking soda.solution. of.course, too much acid in diet is not good.
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Now this time I have checked and you can buy this in the US. My doctor prescribes Cavilon products - the one I use most is Cavilon Durable Barrier Cream Fragrance Free 3355 and in the US it costs about $8 (did the research this time!) They do a host of products specifically design for fragile skin. I find the barrier cream is great for the groin and the vulval area of my mum who used to get quite sore there (sorry about being so specific) and if you go to the 3M site they even have videos of how to apply it. As for Vaseline I have researched this too from an organic chemical stance and there is no evidence I could find that it is harmful to the skin (except from people whoi have a vested interest in selling me something else) But I will look into that more. I also use coconut oil which I keep in the fridge because it cools my mums skin if she has a heated dry area.
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I have found several Medline products on overstock (no affiliation). They also make a really good waterless shampoo/body cleanser, which comes in a spray bottle.
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Amazon sells a few types of the Medline creams. I personally thought they were a bit pricey on that site, but they do sell them.
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I would refer you to an online website, WebMED. You will find plenty of helpful practical tips. HUGS
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Sorry, I realize a typing mistake occurred. The site is WebMD, instead.
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