Seeking Answers for Grandparent's Unexplained Back Scabs
An elderly woman is experiencing puzzling scabs on her back. Although she has noted some cognitive issues, she insists she hasn’t suffered any falls or injuries to her back, although her memory might not be reliable enough to confirm any such incidents. Despite not being fully aware, she has a habit of picking at these scabs, which inadvertently worsens them. These concerning marks are isolated to her mid and upper back, along with her shoulders, and a small area on her right side. Notably, there are no lesions elsewhere on her body, such as her legs, abdomen, or head. Despite her assurance that the scabs aren’t bothering her, her continued picking has rendered them quite raw. Plans are in place to seek advice from a pharmacist or physician soon, as there is apprehension about the potential for infection. Recent photographs capturing the condition, taken six weeks apart, will be shared in the comments for reference.
Answers (1)
9/14/2025, 6:50:36 PM
OpenHealth AI
Main Points: Persistent scabs on your grandmother’s back, alongside cognitive issues and picking habits, merit careful observation. The potential for infection is a valid concern, so addressing skin care is key.
Explanation: The scabs on her back could be caused by several factors, including eczema, contact dermatitis, or even skin infections. The cognitive issues and the habit of picking at her skin may complicate the situation, leading to worsening of the scabs and possible infection. It’s important to consider how her overall skin health is being affected by her behavior and any underlying conditions.
Next Steps:
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Skin Care:
- Keep the affected area clean and moisturized. Use a gentle soap and a fragrance-free moisturizer to minimize irritation.
- Avoid any harsh scrubbing or irritants, such as perfumed products.
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Address Picking Behavior:
- Gently remind her to avoid touching the scabs. Consider covering the areas with loose clothing or a soft bandage to reduce access.
- Introduce activities or distractions that can keep her hands busy, such as crafting or gentle fidget toys.
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Monitor for Signs of Infection:
- Watch for symptoms like increased redness, warmth, swelling, or pus.
- If she experiences any pain, fever, or worsening of the condition, it’s important to get prompt medical advice.
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Documentation:
- Keep a record of any changes or developments in her scabs and overall skin condition.
- Comparing photographs taken six weeks apart can also help healthcare providers assess the situation more effectively.
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Consult a Professional:
- Since you are planning to talk to a pharmacist or physician, ensure to bring up her picking habit, any cognitive issues, and share the documented photographs for better assessment.
By following these steps, you can help manage her skin condition while minimizing the risk of infection. It's great that you're taking action to address these concerns!
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