Investigator: Ann Marie Knudsen, RNET

Facility: Hospital Home Health Care Agency of California, Torrance, CA

Patient Code: # 0089214

Date of Study: 4/12/89 - 4/26/89

The patient is an 85 year old female seen in her home. The patient has continuous fecal and urinary incontinence. Her age and lack of appropriate hygiene are the contributing factors to the excoriated skin on her coccyx and perianal area.

She had developed a severe, painful excoriation measuring 15 cm x 7 cm on her buttock continuing between her legs. Patient is wearing disposable diapers. Good hygiene was demonstrated and Calmoseptine Ointment was applied daily after a sitz bath.

After three days, the patient was pleased with the relief from pain and burning that she meticulously continued the treatment daily and after 12 days her skin had completely healed. Patient is continuing using Calmoseptine Ointment daily as prevention of further skin damage.