Habitual arm picking creating open sores
My LW has developed a habit of picking/ scratching her arm creating open sores all the way from the hand to above her elbow. It’s been going on for 9 months. I’ve tried everything I can think of to stop her from doing this including full arm sleeves. She just picks thru them.
I’ve even woken up at night to the sound of her scratching her arm to the point of bleeding on her pillow/sheet.
I’ve brought this up with her neurologist, psychiatrist, primary doctor. All they say is yes, I see that. No one has come up with a solution.
Obviously I can’t watch her 24/7. I don’t know what else to do. Any suggestions are appreciated .
Comments
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This is a worrisome thing to see. My DH picks/scratches his arm. I keep his arms moisturized to help reduce itchiness. But…that’s not always a given as I think he compulsively picks due to perhaps anxiety or something else. He injures himself so badly, I have to bandage his arm. DH seems to leave it alone when bandaids are on. I also try to keep his nails very short and filed so they’re smooth. This helps a bit.
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My Husband does the same. I have found preparation H cream works best for the areas he itches. I out bandages on the serious tears. Periodically I will give him an antihistamine and that seems to help reset his system and calm the itching. Itching creates more itching and this seems to break the cycle.
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My DH was developing several such spots on his neck, that he scratched over and over, unconsiously, always saying day to day that he didn't know why there were these places on this neck that bled when scratched. He would simply forget that he scratched. I tried everything, the doctor, a dermatologist, and and all sorts of prescription and OTC medications. Finally, I found, thru trial and error, what worked has been to wash the affected area each day with an antimicrobial wash and then apply an anti-itch cream. Benedryl Anti-itch ointment has helped. Also, anti-fungal ointment has helped a lot as well. What worked for us may not work for you. Good luck!!!
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you might try mittens similar to what is used for new born infants that will often scratch themselves badly. At least in her sleep they may work.
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they make scratch sleeves that she shouldn’t be able to pick through. Keep her nails short and smooth. Also try mittens or glove for eczema.
- Cover up: Use gloves, long sleeves, or soft arm coverings (like ScratchSleeves) to reduce picking.
- Keep hands busy: Provide fidget toys, puzzles, or activities like sorting buttons.
- Address emotional triggers: Reduce anxiety or boredom through engaging activities and comfort.
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PS: look for fidget toys or blankets. You might try a life like baby doll.
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I forgot to ask if your DW is on any medications for anxiety. If not, I would ask for something for her.
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Hi. Maybe check with a dermatologist. A family member with Alzheimer’s did this when her skin was dry, and it itched constantly. The dermatologist prescribed medication that stopped it. We were also told that hot showers were drying out her skin.
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What antihistamine are you using? In case you are unaware, Benedryl should not be used by the elderly and those with dementia specifically as it can cause further impairment.
If you're using Zyrtec, be aware than new studies are suggesting that some folks have a rebound itch when it is discontinued without weaning.https://www.goodrx.com/classes/antihistamines/how-to-stop-taking-zyrtec-without-itching
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@Gator1976
I am so sorry you are dealing with this.
Picking is not uncommon in PWD. I used to moderate a forum for parents of kids with ASD. Picking was a very common behavior among them as well.
Strategies that were often effective for picking:
Often the urge to scratch is cause by dry skin which is common in the elderly especially during winter heating season. You can combat it be maintaining good hydration (drinking water) and using a humidifier as well. OTC Skin creams that contain 1% Pramoxine Hydrochloride can help dial back the itch and won't further thin the skin as a hydrocortisone will.
Once you're dealing with scabs, the goal is keeping them sores moist and inaccessible while they heal. This will require some sort of ointment to prevent the kind of dried out scab that creates a "pulling" sensation that can lead to picking and covering it up. Bandages work for some folks, but others need to use clothing of some kind over the bandages to protect them. A compression tee or compression sleeves can be good for this. Many people with sensory issues/anxiety respond well to gentle compression btw.
Distraction and keeping hands busy can help. Fidget objects, folding tea towels, activity aprons are options. With my son who had a scab he worried on his ear for almost 2 years, what helped was an SSRI and distraction with glue/ non-toxic adhesive I could paint on his palm and let him pick at safely. Anecdotally, DS's psychiatrist says he find Zoloft the best of the SSRIs for OCD-like picking.
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Diane, fidget toys are a great idea.😄 i'm going to try those for DW just because……
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Our dermatologist did tell us not to use benedryl. He did suggest Claritin or Zyrtec. So I bought Zyrtec. At this point he takes 1-2 pills at the most in a month. I did not know about Zyrtec, so thank you.
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tried that but it made her hands useless, thx for replying.
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My new weapon is Gause bandages wrapped with medical wrap. It’s working so far.I’ve tried the arm prtecrors, she just scratched thru them. Most are made of nylon or some synthetic thin material.
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She is, on two.
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