65 result(s) for the key topic Skin Care were found:
- Use of topical treatments in psoriasis management
- This third article in a seven-part series looking at the identification and treatment of psoriasis, explores the active ingredients and action of the main topical treatments for psoriasis. Community nurses are perfectly placed to help patients take control of their skin condition, particularly in advising them on the benefits of topical treatments, which as they can be applied directly to the skin, allow the area to be targeted, lowering the level of absorption into the bloodstream and reducing side-effects (Psoriasis and Psoriatic Arthritis Alliance (PAPAA, 2017a).
- November 2017 : Volume 31, Number 5
- An overview of common skin complaints seen in primary care
- The knowledge needed to diagnose skin conditions in primary and community care can be elusive, daunting and confusing. By using thorough history-taking, excellent physical assessment skills and thinking ‘outside the box’, healthcare professionals can formulate a differential and working diagnosis to improve patient access to appropriate management, including medications, lifestyle changes and referral as needed. Simple history-taking tools, relevant mnemonics and good resources can help patients to be managed quickly and effectively, and thereby improve outcomes and reduce the need for time delay in diagnosis. This article intends to demystify the dermatology conundrum and give healthcare professionals the tools to simplify the treatment of common skin conditions.
- August 2017 : Volume 31, Number 4
- Use of emollients in psoriasis management
- Psoriasis is a common skin problem that can cause significant distress to primary care patients, as well as representing a significant burden to healthcare resources. Often seen by communinity nurses, psoariasis is a condition that requires careful management as well as extensive knowledge of the different presentation. This article, the second in a series looking at the identification and treatment of psoriasis, examines the use of emollients in psoriasis treatment, focusing on the aims, benefits and efficacy of these topical treatments.
- June 2017 : Volume 31, Number 3
- How can camouflage help with long-term skin problems?
- Many people with skin conditions such as eczema, psoriasis and acne, as well as scars and old or unwanted tattoos, can find their self esteem is negatively affected. This article looks at skin camouflage, a cosmetic technique that can nonetheless provide patients with a way of lessening the psychological impact of skin conditions.
- October 2016 : Volume 30 Issue 5
- The nursing management of infantile eczema
- Atopic eczema, also referred to as dermatitis, is an inflammatory chronic skin disease that commonly develops in childhood. This condition ranges from birth to 12 years old and affects both genders equally. Atopic eczema affects people of all ages but children in particular. The prevalence rate for atopic eczema is around 15–20% in children and 2–10% in adults (Scottish Intercollegiate Guidelines Network [SIGN], 2011), and accounts for 30% of all dermatological consultations in primary care (Shamssain, 2007).
- October 2016 : Volume 30 Issue 5
- Using soap substitutes, bath additives and leave-on emollients
- With so much choice, there can be uncertainty around which skin preparations to use in people with skin that is damaged or in danger of becoming compromised. However, community nurses are ideally placed to carry out skin assessments, provide education and work with patients to identify an effective emollient package. Patient choice is crucial and should be available to patients of all ages with vulnerable, dry or scaly skin conditions. Patient education and written management plans are also essential for the successful management of dry skin conditions. However, choosing one type of bath additive or emollient over another can create confusion for healthcare professionals and patients alike and this article sets out some basic principles for successful management.
- June 2016 : Volume 30 Issue 3
- How much sun is too much?
- May 2016 : Volume 2, Issue 1 (Skin Care Today)
- Skin care today
- May 2016 : 11 May 2016
- The impact of vulval disease on patients’ quality of life
- Vulval health disorders can be painful and chronic conditions. The link between long-term painful illness and the mental wellbeing of patients is firmly established. Taking into account the nature of vulval health conditions, it is important to gain an understanding into the impact they can have upon a patient’s quality of life. As part of an initiative aimed at expanding insight into the realities of living with this type of problem, the British Association of Dermatologists surveyed 325 British women who had suffered, or were currently suffering, from a vulval health disorder.
- April 2016 : Volume 30 Issue 2
- Dealing with viral skin infections in the community setting
- Many skin conditions, while no longer requiring hospitalisation, still require a level of knowledge and skill from community nurses, particularly with assessment and diagnosis. Atopic eczema is one such skin condition and can cause significant discomfort, particularly when inflamed skin becomes virally infected, leading to to complications such as eczema herpeticum and molluscum contagiosum. Both of these viral infections can increase the discomfort of eczema, leading to a variety of symptoms including blisters, sore skin, itch and rash. It is important that community nurses are able to identify skin conditions of this type and know whether to treat themselves or refer on to dermatological specialist nurses for more specialised management.
- February 2016 : Volume 30 Issue 1
- Dealing with common skin lesions in older people
- This article will highlight some common skin lesions present in the older population. Skin lesions of this type may be frequently seen by community nurses and can be categorised as benign lesions, non-melanoma and melanoma skin cancers. The article contains a description of the lesions along with a guide to the correct terminology used to establish an accurate diagnosis. The prevalence and causes of these lesions along with an explanation of varying treatment options is also included.
- December 2015 : Volume 29, Issue 6
- Older people need our help more than ever
- Independent Age is a charity that provides an established voice for older people, the greatest users of the NHS. As we continue to live longer, putting more strain on services, we all need to prepare for what might be an uncertain future. As more people live for longer with chronic conditions, they will need support, much of it being required in the home.
- December 2015 : Volume 29, Issue 6
- An overview of eczema management for community nurses
- This article provides an overview of the common eczematous conditions that patients may present with in the community. With early diagnosis and treatment, including patient education and effective care planning, eczema can be managed succesfully by community nurses, not only releving pain, itch and irritation, but also improving patients’ quality of life. When formulating a comprehensive management plan, community nurses will need to be able to recognise, diagnose and treat the different presentations of eczema as well as understanding the main therapies, including emollient and topical steroid therapy.
- October 2015 : Volume 29, Issue 5
- Eosin solution: a dermatology treatment rediscovered
- Among the challenges facing community nurses in their day-to-day practice is one that impacts greatly on patients, relatives and healthcare providers — the management of exudating skin conditions and wounds. This article looks at eosin solution, a popular treatment option for exudative dermatoses on mainland Europe, to the extent of being commercially available to the general public, but one which has dwindled in popularity in the UK. This article provides an introduction to this versatile nontoxic dye and outlines its potential application in the community setting by comparing it with the much more widely used alternative potassium permanganate.
- June 2015 : Volume 29, Issue 3
- Understanding the development and management of shingles
- Shingles is a condition caused by reactivation of the herpes virus that is responsible for varicella (chickenpox). It results in a painful, vesicular rash that can have a devastating effect on patients. It can also have long-lasting effects such as pain and increased risk of vascular conditions such as stroke for patients under the age of 40. Being that shingles is not a notifiable disease, most of the information available on its incidence is inaccurate and based mostly on estimate studies. The health prevention of this virus is of extreme importance as a vaccination programme is made available to eligible individuals. Patients that develop shingles under the age of 40 can also be assessed for the risks of developing vascular conditions.
- May 2015 : Volume 29, Issue 2
- Identifying common skin infections and infestations
- As community nurses increasingly visit patients in their own homes to perform wound care, continence care or other common community nursing tasks, they may notice various skin conditions in the course of examining or treating patients. In order to provide holistic care, it is important that community nurses have a working knowledge of the variety of infections and infestations that can affect an individual's skin. This article takes a look at some of the more common skin infections/infestations — impetigo, fungal infections, viral warts, and scabies — and provides information on presentation, assessment and treatment.
- February 2015 : Volume 29, Issue 1
- The assessment, selection and benefits of made-to-measure hosiery
- Welcome to JCN’s learning zone. By reading the article in each issue, you can learn all about the key principles of subjects that are vital to your role as a community nurse. Once you have read the article, visit www.jcn.co.uk/learning-zone/ to evaluate your knowledge on this topic by answering the 10 questions in the e-learning unit; all answers can be found in the article. If you answer the questions correctly, you can download your certificate, which can be used in your continuing professional development (CPD) portfolio as evidence of your continued learning.
- February 2015 : Volume 29, Issue 1
- How to identify and treat herpes zoster (shingles)
- Shingles, or herpes zoster, is a relatively common viral infection in the UK, which is caused by a reactivation of the varicella-zoster virus after patients have had an earlier infection with chickenpox. The condition results in a painful rash and in severe cases patients can develop post herpetic neuralgia (PHN), an intense chronic pain at the affected area, despite resolution of the skin lesions. Shingles can also affect the nerves in the eyes and ears, as well as causing scarring. It is important that community nurses are aware of this condition and able to advise on supportive treatments such as topical medications, pain relief and, in appropriate cases, vaccination.
- December 2014 : Volume 28, Issue 6
- Diagnosing, assessing and managing cellulitis in the community
- Cellulitis is an acute bacterial infection of the skin and underlying subcutaneous tissue, mostly caused by Group A Streptococci (Mortimer, 2000; Cox, 2009) and Staphylococcus aureus (Hadzovic et al, 2012) (Figure 1). It can occur anywhere on the body, but most commonly affects the lower limb in 75–90% of cases (Tsao and Johnson, 1997).
- October 2014 : Volume 28, Issue 5
- Management of Staphylococcus aureus-infected atopic eczema
- Many community nurses will have encountered atopic eczema, a widespread skin condition resulting in itchy, red, dry and cracked skin and which has a serious effect on patients’ quality of life. When atopic eczema becomes infected with Staphylococcus aureus, however, these symptoms can intensify, resulting in outbreaks of folliculitis and widespread infected eczematous lesions. These can be painful and distressing and community nurses need to be aware of the symptoms and treatments in order to deal with the problem themselves or refer on. This article looks at the background to infected atopic eczema as well as the main treatments, including oral antibiotics, antiseptics, combination topical therapies and good hygiene.
- August 2014 : Volume 28, Issue 4
- What you need to know about caring for the skin around a stoma
- Simply trying to cope can be a challenge for the many people in the UK who have a stoma — this can include issues such as how to clean and maintain the appliance and what to do if there is a complication once they have been discharged home into the community. The community nurse is often the first point of contact when there are problems with a stoma in the patient’s home and may have to advise on how to change a stoma appliance as well as how to deal with issues such as skin stripping and leaking.
- August 2014 : Volume 28, Issue 4
- Dealing with the effects of seasonal changes on the skin
- Skin reactions and insect bites associated with the spring and summer months are commonly seen in community settings. In this article, the author provides an overview of the most common skin reactions, including skin cancers, that can occur through increased exposure to the sun, as well as highlighting management techniques for community nurses faced with patients who have seasonal-associated skin complaints. With prevention being key, particularly where melanoma are concerned, this article provides a useful source of information for community nurses dealing with skin problems at this time of year.
- June 2014 : Volume 28, Issue 3
- The management of atopic eczema in the community setting
Atopic eczema is a frustrating and complex skin condition that has no cure. However, with good support, education and the correct application of topical treatments it can be well-controlled. Community nurses can provide patients with information about their condition, how to apply their topical treatment effectively and how to manage flares and maintain a routine that will improve the eczema and the patient’s quality of life. Any information provided should be reinforced with written information and a treatment plan, with follow-up support offered as needed.
- April 2014 : Volume 28, Issue 2
- The use of a faecal management system in sacral pressure ulcer care
- This article aims to explore the perception that treatment of sacral pressure ulcers is costly and time-consuming, especially when faced with faecally incontinent patients with loose stool. The authors’ tissue viability service used a faecal management system to prevent faeces from coming into contact with the wound bed for 12 weeks, while simultaneously allowing a conventional dressing to perform to its maximum ability. A total cost and wound-healing comparison was carried out in two community patients who were faecally incontinent and bed-bound. One patient was managed with a faecal management system and the other with incontinence pads. The authors found that although the purchase of the faecal management system was initially costly, the frequency of dressing change was reduced, the patient felt more comfortable and fewer visits from the community nurses were necessary. Also, faster healing rates were demonstrated by reductions in wound size. This technique requires further studies with a larger sample size to ascertain its true benefits, particularly around wound healing.
- April 2014 : Volume 28, Issue 2
- Using the latest psoriasis guidance to inform community treatment
- Psoriasis can be a long-term condition, which is a significant problem for approximately 2% of the UK population. Recent NICE guidance on the treatment of psoriasis provides much-needed advice and reminds clinicians of the importance of assessment (both physical and psychological) and of talking to patients about side-effects and mode of action. Primary care nurses are in a great position to work with patients to ensure that they have the optimum treatment regimen, and that they have realistic expectations as to how it will work. An optimum regimen should always include an emollient, a topical product to treat plaques on the body along with topical products for scalp, face and flexures as necessary.
- January 2014 : Volume 28, Issue 1
- Involving patients in the monitoring of radiotherapy-induced skin reactions
- Radiotherapy is one of the mainline treatments for cancer, but less commonly understood are some of the side-effects, which include skin problems that range from being mild (dull erythema and tightening of the skin) to severe (moist desquamation with open wounds and oedema). This article highlights an ongoing study that aims to assess the implementation of a best practice skin guideline for the management of both dry and moist desquamation in patients with evidence of radiotherapy-induced skin reactions.
- November 2013 : Volume 27, Issue 5
- Managing radiotherapy-induced skin reactions in the community
- Over 60% of individuals receive radiotherapy as part of their cancer treatment, either with curative or palliative intent. Radiotherapy is usually provided as an outpatient service, which means that community nurses need to understand the most common radiotherapy-induced side-effect, an acute skin reaction, which can range from mild erythema to confluent moist desquamation. All patients receiving external beam radiotherapy are at potential risk of developing this reaction. This article presents information on the assessment and management of what can be a debilitating side-effect.
- September 2013 : Volume 27, Issue 4
- The importance of peristomal skin care in the community setting
- With government reforms increasingly bringing care into patients’ homes, community nurses will inevitably encounter more and more people who have a stoma. Stomas essentially involve the maintenance of a permanently open breach of the skin, therefore, the site requires expert skin care as it is vulnerable to stripping and break down. This article looks at the use of silicone-based adhesive removers, which improve quality of life and can also reduce healthcare costs as they prevent the escalation of peristomal skin dysfunction. These products also help to prevent costly ongoing treatment for the effects of stripping on sensitive peristomal skin.
- September 2013 : Volume 27, Issue 4
- Dermatological issues in lymphoedema and chronic oedema
- In order to understand lymphoedema and chronic oedema skin breakdown and thus consider the most appropriate treatment options and strategies for patient education, the normal function and structure of the skin must be understood.
- March 2013 : Volume 27, Issue 2
- Implementing a dermatology pocket guide
- The roles of health care professionals are rapidly evolving. Over recent years, the nursing profession has taken on new challenges and extended roles in respect of patient care. Many nurses in senior roles work autonomously and at a higher level of practice, engaging in flexible cross boundary partnership working. In order to undertake such roles effectively, guidance is required to maintain standards. This article presents an overview of the development and implementation of a new dermatology pocket guide in Scotland.
- November 2012 : Volume 26, Issue 6
- Skin care of the incontinent patient
- People who are incontinent of urine and/or faeces are at greater risk of developing localised redness, irritation, skin peeling and fungal infections around the perineum, sacrum, groin, ischial tuberosities and hips. In addition, the risk of skin breakdown and pressure ulcers in association with moisture can be increased. This article will explore best recommended practice in the management of skin damage caused by incontinence.
- March 2012 : Volume 26, Issue 2
- Prescribing in practice – a patient centred approach
- Fiona Wondergem describes a dermatology prescribing case study utilising a patient centred approach.
- January 2012 : Volume 26, Issue 1
- Eczema in later life
- Julie van Onselen & Margaret Cox provide an overview of skin changes that occur as we age – the intrinsic and extrinsic factors – and looks at the types of eczema most commonly experienced in later life.
- September 2011 : Volume 25, Issue 5
- Infection and eczema
- In this article, Margaret Cox, Chief Executive of the National Eczema Society discusses the link between eczematous skin and infection.
- May 2011 : Volume 25, Issue 3
- Scalp problems in eczema
- In this article, dermatology specialist nurse, Julie Van Onselen looks at the different types of scalp eczema and offers guidance on ways of treating this often intractable condition
- January 2011 : Volume 25, Issue 1
- Psoriasis: more than just skin deep
- Fiona Wondergem gives an overview of the impact that psoriasis and its treatment can have on an individual’s quality of life.
- November 2010 : Volume 24, Issue 6
- Napkin dermatitis and its treatment
- Fiona Wondergem discusses some of the available evidence surrounding the prevention and treatment of napkin dermatitis
- July 2010 : Volume 24, Issue 4
- Skin care for leg ulcers
- Carol Coley discusses the use of emollients in the management of skin conditions
- March 2009 : Volume 23, Issue 3
- The use of emollients in dry skin therapy
- Beverley Chiodo explains the role of emollients within the management of diseases with dry skin as a major symptom
Beverley Chiodo BA (Hons), RN is Practice Nurse, West Yorkshire
Article accepted for publication: August 2008
- October 2008 : Volume 22, Issue 10
- Nappy rash and childhood eczema: an overview
- Fiona Wondergem discusses the current treatments for nappy rash and atopic eczema in children
Fiona Wondergem MSc, BSc Hons, PG Dip HV, RGN, RSCN, Dip HP is a freelance health writer
Article accepted for publication: December 2007
- February 2008 : Volume 22, Issue 2
- Coping with atopic eczema
- Joanne Wright discusses the day to day management of atopic eczema
Joanne Wright RGN, RM is a Practice Nurse, Brighouse, West Yorkshire
Article accepted for publication: December 2006
- May 2007 : Volume 21, Issue 5
- Atopic eczema: an overview
- Karen Spowart gives an overview of atopic eczema and its management.
Karen Spowart is a Paediatric Nurse Specialist at Chelsea and Westminster Hospital.
Article accepted for publication: May 2006
- September 2006 : Volume 20, Issue 9
- Onychomycosis: managing patients at risk
- Polly Buchanan gives an overview of the treatments available for managing onychomycosis.
Polly Buchanan RGN, RM, DipN, BSc (Hons) is a Consultant Nurse in Dermatology, Galderma UK, NHS Fife, NHS Tayside.
Article accepted for publication: December 2005
- June 2006 : Volume 20, Issue 6
- Developing skin camouflage practice - a joint initiative
- Annemarie Brown & Madeleine Flanagan describe the development of a skin camouflage course.
Annemarie K. Brown, MSc, BSc (Hons), RGN is a Visiting Lecturer, School of Continuing Professional Development, University of Hertfordshire and Tissue Viability Clinical Nurse Specialist, Castle Point and Rochford PCT.
Madeleine Flanagan MSc, BSc (Hons), Dip. RGN is a Principal Lecturer in Tissue Viability, School of Continuing Professional Development, University of Hertfordshire
Article accepted for publication: January 2006
- May 2006 : Volume 20, Issue 5
- Living with X-linked hypohidrotic ectodermal dysplasia
- Diana Perry gives an overview of this skin condition and its management from a carers point of view. For more information please contact Diana Perry at the Ectodermal Dysplasia Society, 108 Charlton Lane, Cheltenham, Glos. GL53 9EA England Tel: 01242 261332 Email: Diana@ectodermaldysplasia.org Web: www.ectodermaldysplasia.org.
- November 2005 : Volume 19, Issue 11
- An evidence based approach to wet wrap therapy for the management of eczema
- Dr Paula Beattie discusses the evidence base for the use of wet wrap therapy in the management of atopic eczema.
Dr Paula E. Beattie MRCP is a Clinical Fellow within the Department of Dermatology, Great Ormond St Hospital, London WC1N 3JH.
Article accepted for publication: March 2005
- September 2005 : Volume 19, Issue 9
- Psoriasis: an overview
- Joanne Wright discusses the need for good emotional support and understanding when dealing with patients/ clients with this distressing skin condition. Joanne Wright RGN, RM is a Practice Nurse in Brighouse, West Yorkshire. Article accepted for publication: February 2005
- May 2005 : Volume 19, Issue 5
- Occupational dermatitis
- Dr Iain Foulds explains the incidence and nature of this form of eczema
Dr Iain Foulds is a Consultant Dermatologist.
Article accepted for publication: January 2005
- February 2005 : Volume 19, Issue 2
- Acne and eczema: questions and answers
- In the second of our articles from the ABPI on skin and skin conditions we discuss the management of acne and eczema.
This article has been reproduced by kind permission of the Association of the British Pharmaceutical Industry.04
- November 2004 : Volume 18, Issue 11
- Eczema - a case study
- Amira Obeid gives an overview of a case study which involved the management of atopic eczema in a four month old baby
Amira Obeid MSc, ANP, BSc (Hons), RN, RM, RHV, DPS: N (CHS), FETC, CIDC, CHD Dip, ENB 8103, 7310, is a Nurse Practitioner, Lordswood Surgery, Birmingham
Article accepted for publication: January 2004
- September 2004 : Volume 18, Issue 9
- An introduction to the skin
- March 2004 : Volume 18, Issue 3
- African-Caribbean skin and the management of eczema
- Information Services at the National Eczema Society look at the management of eczema in black skin.
- November 2003 : Volume 17, Issue 11
- The use of emollients and their correct application
- James Britton reviews the use of emollients and creams for skin conditions.
Dr James Britton, BM, BS, BMedSci (Hons), MRCP (UK) is a Specialist Registrar in Dermatology at Leeds General Infirmary, Leeds, UK. Article accepted for publication: March 2003
- September 2003 : Volume 17, Issue 9
- Management of atopic eczema in children
- Rosemary Turnbull gives an overview of the treatment of atopic eczema in children.Rosemary Turnbull, RGN, RSCN, Paediatric Dermatology Specialist Nurse, Chelsea and Westminster Hospital, London. Article accepted for publication: April 2002
- June 2003 : Volume 17, Issue 6
- Infectious skin conditions
- Dr James Britton gives an overview of infectious skin conditions.
James Britton BM, BS, BMedSci (Hons), MRCP (UK) is a Specialist Registrar in Dermatology, Leeds General Infirmary, Leeds. Article accepted for publication: January 2003
- March 2003 : Volume 17, Issue 3
- Eczema - an overview
- In recognition of National Eczema Week, health writer Beverley Chiodo gives a brief overview of the causes of eczema and its treatment.
Beverley Chiodo BA Hons, RGN, is a Freelance Health Writer, West Yorkshire.
Article accepted for publication August 2002.
- September 2002 : Volume 16, Issue 9
- Emollients - a guide to their use in eczema
- Collette Chambers from the National Eczema Society discusses the use of emollients in the treatment of eczema.
Collette Chambers is Information Co-ordinator for the National Eczema Society, London.
Article accepted for publication January 2002.
- March 2002 : Volume 16, Issue 3
- Psychological aspects of atopic eczema
- Collette Hoare discusses the emotional, psychological and social issues which play a part in the treatment of atopic eczema.
- July 2001 : Volume 15, Issue 7
- A community eczema clinic
- Three Manchester based Health Visitors - Patricia Carey, Jacqualine Darby & Jacqui O'Reilly describe an initiative designed to educate and help parents how best to manage their children's eczema.
- November 2000 : Volume 14, Issue 11
- Developments in dermatological care
- Winifred Farrrell discusses the current policies which influence the organisation, and provision of policies on dermatological care
- September 2000 : Volume 14, Issue 9
- Care of the incontinent client’s skin
- Sarah Le Lievre describes the basic functions of the skin and how the nurse can minimise skin damage in incontinent patients.
- February 2000 : Volume 14, Issue 2
- Atopic eczema - an overview
- Jessica Stone and Sarah Ransome describe the vital role of community nurses in the management of atopic eczema.
- June 1999 : Volume 13, Issue 6
- Eczema: The allergy field
- Patricia Schooling discusses the rising incidence of allergy
throughout the UK population.
- June 1999 : Volume 13, Issue 6
- Managing infant dry skin
- Sarah Purcell & Dr. David Paige give a brief overview on the management of dry skin conditions in infants & young children.
- April 1999 : Volume 13, Issue 4
- A guide to dry skin problems
- Dr Jay Herbert gives an overview of some of the most common forms of dry skin problems and their treatment.
- November 1998 : Volume 12, Issue 11