Irritant Contact Dermatitis in Incontinent Pad Posing Huge Threat To Lives

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Because of the above diagnosis I'm now faced with people thinking I don't look after Mum properly! This has HUGE really BAD implications for our lives.

She has just got a diagnosis via a photo and GP email as the above (ICD) but altho she is bed bound and does wear pads she is kept very clean. Wee and poo don't get half way up her back - the latest area to become active and spread. She still holds herself and releases herself at pad changes. She is checked very frequently in between. Also when she is laying on her side very often the pad is away from her back allowing air to circulate.

Can anyone help figure out - assuming the diagnosis is correct (?) - how her back is this way due only to wearing the pad? There are confounding variables such as creams and antibiotics but that would make this question an essay.

Right now I don't feel like I have a leg to stand on when facing Dr's Nurses etc that will assume I'm just lying. There must be something else causing this.