Long-term conditions: skin care
Skin conditions are commonly seen by nurses in primary care. Not only do they have a significant impact on patient health and quality of life, they also have implications for healthcare resources, requiring long-term regular treatment. This article provides an overview of the anatomy and physiology of healthy skin, as well as outlining its primary functions. Managing common skin conditions such as psoriasis and atopic eczema is also discussed, alongside the various preparations that can help general practice nurses (GPNs) to maintain the patient’s skin integrity. A guide to the use of skin care treatments such as emollients, with particular emphasis on quantities and application technique, is also given.
The team of Eczema Outreach Scotland (EOS) has been working with families dealing with the day-to-day struggle of childhood eczema for over five years. Magali Redding, a West Lothian mother of three and voluntary sector professional, set up the group when her daughter asked tearfully: ‘why am I the only scratchy girl in the world?’ In between their precious clinic appointments, the family had been feeling increasingly frustrated and isolated in their battle with the impact of eczema on life.
Atopic eczema is a common dry skin condition, and, as with any dry skin condition, emollients are a fundamental aspect of care. With so much choice there can be uncertainty around which product to use. Choosing one product over another can create confusion for both healthcare professionals and patients. This paper looks at emollients, the products available, how to use them and the current evidence and research relating to emollient use for atopic eczema. The reader is also directed to additional resources to support clinical practice.
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