My husband developed a terrible diaper rash.. that actually bled.
Hospice brought us some thick ointment that helped.
You might ask at your pharmacy for a good product. There are several on the market.

Hi Cheryl,
Do you have a special mattress pad for your MIL? I believe there are jell pads of some sort that would reduce the risk of bed sores.
There are several websites that specialize in such products.
I wish I could be more specific but I will do some checking on another site that I visit often.
My husband has sores in the crease of his behind and his PSW likes me to bring Zincofax rather than the barrier creme they use in the nursing home.

You should change her position every 2 hours to keep the pressure from being in one spot too long.

My hubby developed a stage IV decubitus ulcer back in 2001. At that time I had a really bad case of the flu and pretty much stayed away from him for 10 days for fear he would get it. He was pretty independent at that time. Since he is paralyzed he doesn't feel pain below the belly button. When I started feeling better he told me he had a sore on his butt. I nearly passed out when I checked. I took him right to the hospital where he had two surgeries, almost got a colostomy and spent a total of 5 1/2 months in five different facilities
Looking back, it probably would have been better if I had given him the flu!!.

I now do skin checks in the morning and in the evening. He does push ups in his wheelchair. If your MIL is unable to change positions herself, it is important to change her position every two hours. If I see a pink area on my hubby I use a cream called "Butt Paste". I also have a gel overlay on his hospital bed......both which are covered by Medicare.

Yes, my hubby had the same problem with the skinny butt and did actually get a dime-sized sore that was quite a while healing. The Dr. debrided it in the office and gave him desonide ointment. We got it healed up, but it would keep getting red and sore. So, we bought him an innertube for a trailer tire, blew it up and put it in a pillow case and he sat on that ALL the time. We had one in the car and one on his lift chair. That did the trick and he never got it back again. I was surprised that even with him 5 wks in the hospital bed, he didn't have a single sore when he died.
They used a protective cream on his but when they changed his diaper and it must have helped for sure.

Good luck.

Thanks all for the help.Yes,I do have a air flow mattress thing on the hospital bed that Hospice set up.I do change her position at least every 2 hrs.

I think that part of the problem is wearing attends in this heat.I change her often throughout the day,but she stays sweaty even with the air at 72.

I talked with the Hospice nurse.They do not want me to use any creams or barriers.They recommend just keeping it clean,and the pressure off.

Carolyn,I have rigged up something similar.I cut a hole big enough for her bum,in a memory foam pillow.It seems to keep the pressure off.I will watch it closely,and hope for the best.

Good thinking Cheryl, I think you will find that that pillow and keeping the pressure off will do more than anything to prevent the skin from breaking down anymore. Eversince we started using the "donut", he never had any trouble after that.

I'm afraid that once the skin is broken, it might take a med to clear it up. Just watch it closely to make sure it is healing and not getting worse.
Good luck...hugs , Carolyn

When my mother became bedridden, I wasn't even aware of pressure ulcers! I had to do a lot of digging. I came across this extensive guide that really breaks it down.
https://vivehealth.com/blogs/vive-blog/bed-sore-treatment Lots of good recommendations and solutions! Best of luck!!

I am caring for my 79 year old paraplegic husband (32 years in a wheelchair). He had a bedsore back in 2001 that put him in the hospital twice and 3 different skilled facilities and finally in a rehab facility for a total of 6 months. Since that time he has had multiple small areas on his sacral area and scrotum with sores/abrasions etc. I can't even count how many different things have been tried usually with mild improvement. The newest and so far the best is Silvercel an anti-microbial non-adherent dressing that I cover with MEDFIX Retention tape. Like your MIL he has no meat on his butt. This has been such a huge challenge for me and as a nurse I always feel guilty when it happens.

My spouse had been admitted to the hospital alreadtofor other things when the head of wound care visited and all heck broke loose for that week. He didn't even have an open sore just some reddish/purplish color on his butt as far as I could tell, but WC lady said it was deep pressure bruising and she issued a slew of orders that had the hospital staff jumping and running for over a week afterward. Wish I could have gotten him that kind of attention from certain other departments, he might still be here. She even ordered a very special bed that came in 2 days still in boxes and plastic wrap. If your MIL has an open bedsore, you probably should consider having her in hospital for specialized care. Just saying.

My spouse had been admitted to the hospital already for other things when the head of wound care visited and all heck broke loose for that week. He didn't even have an open sore, just some reddish/purplish color on his butt as far as I could tell, but WC lady said it was deep pressure bruising and she issued a slew of orders that had the hospital staff jumping and running for over a week afterward. Wish I could have gotten him that kind of attention from certain other departments, he might still be here. She even rush ordered a very special kind of air bed ($50,000 dollars worth, or so I was told) into his room, that came in 2 days still in boxes and plastic wrap, had to be put together by an orderly in the hall outside his room. If your MIL has an open bedsore, you probably should consider having her in hospital for specialized care. Just saying.

Sorry. Still getting error messages making it look like my first reply isn't going through.