RESUMO
This article examines why healthcare professionals may find it difficult to advise patients about care of chronic skin conditions such as psoriasis, eczema and acne. Strategies that might be helpful in improving advice for patients are discussed.
Assuntos
Acne Vulgar/terapia , Eczema/terapia , Educação de Pacientes como Assunto , Psoríase/terapia , Autocuidado , Doença Crônica , Educação Continuada , Humanos , Luz Solar/efeitos adversosRESUMO
Severity of lymphedema and presence of entry lesions are risk factors for acute bacterial dermatolym-phangioadenitis (ADLA) in those with filarial lymphedema. Recurrent ADLA causes acute morbidity and progression of lymphedema severity; however, there is little work assessing the ability of health workers to reliably stage disease severity and identify risk entry lesions. This knowledge is important in initiation of management and assessing interventions. We evaluated inter-rater reliability with two independent health workers rating both legs of 17 patients using a questionnaire and the Dreyer classification of lymphedema. The health workers could reliably stage lymphedema with high agreement (RMAC weighted kappa of 0.89) and identify nail, interdigital, and other skin lesions. However, there was less consistency in identifying the clinical nature of skin lesions. This indicates that the Dreyer classification can be a replicable way to stage lymphedema and a questionnaire can deliver high observer agreement on the presence of risk lesions.
Assuntos
Filarioidea/crescimento & desenvolvimento , Linfedema/diagnóstico , Linfedema/parasitologia , Animais , Pessoal de Saúde/normas , Humanos , Variações Dependentes do ObservadorRESUMO
This article outlines the nurse's role in promoting the best methods of maintaining healthy skin. It discusses the key structures of the skin and its functions, the role of emollient therapy in children and adults, and external environmental factors.
Assuntos
Promoção da Saúde/métodos , Papel do Profissional de Enfermagem , Higiene da Pele/métodos , Higiene da Pele/enfermagem , Administração Tópica , Adulto , Idoso , Envelhecimento/fisiologia , Alérgenos , Criança , Dermatite de Contato/enfermagem , Dermatite de Contato/prevenção & controle , Fármacos Dermatológicos/administração & dosagem , Emolientes/administração & dosagem , Incontinência Fecal/enfermagem , Humanos , Higiene da Pele/instrumentação , Fenômenos Fisiológicos da Pele , Queimadura Solar/enfermagem , Queimadura Solar/prevenção & controle , Incontinência Urinária/enfermagemRESUMO
Lymphoedema is a symptom of a malfunctioning lymphatic system. It is characterised by chronic swelling caused by the accumulation of lymph. Rebecca Penzer examines the nursing management of lymphoedema and the ways in which non-specialist nurses can offer support and promote self-care in patients with this potentially debilitating condition.