Emollients Resources

Atopic eczema is becoming more prevalent across all age groups. It is a condition that occurs in childhood and can resurface or develop for the first time in later life in those who may/may not have previously had asthma or hayfever. Other forms of eczema, such as asteatotic eczema (where the skin is abnormally dry) and varicose eczema (which affects the lower limbs and is common alongside varicose veins), often develop in older people, while irritant or allergic contact dermatitis can develop as a result of occupational activities or hobbies which involve contact with disinfectants or petroleum products. Management of atopic eczema involves leave-on topical creams in mild cases, to the use of systemic immunosuppressive medication in severe cases. However, understanding environmental factors and physiological changes that can occur in atopic eczema, and which can affect the severity of the condition, can assist general practice nurses (GPNs) to eliminate or reduce patients’ exposure, thus improving the control of the condition and reducing the risk of exacerbations.

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.

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.

This article is intended to give some insights into the perspective of a carer of a child with eczema and to offer practical advice on how general practice nurses (GPNs) can effectively help patients with this debilitating skin condition. Eczema can have a negative impact both on self-esteem and quality of life for patients and carers. The long-term, sometimes lifelong nature of eczema, means that patients need to be educated in how to care for their skin. GPNs can advise patients and carers about how best to self-manage this disorder, which in turn can help them to cope.