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Abstract: . . . ther- apies, coping mechanisms and plenty of sleep, added to a responsive nursing service, will improve the qual- ity of life of those with eczema . This article will have covered the initial first-, second- and third-line treatment options, but the author sug- gests that community nurses seek expertise and clin- ical experience form their local dermatology department to adapt their practice to locally agreed therapies. The introduction of wet wraps . . . . . . of emollient must be made avail- able to the patient. The quantity of topical emollient required for total body surface if applied four or five times a day is 100g per day, therefore 500g would last five days. Treatment strategies Assessment Reflect on your current workload and identify how many types of eczema you have experienced. Consider what advice you have given patients about their skin care. TIME OUT 2 . . . . . . utilise resources and ensure a good standard of care for patients Conclusion Now that you have completed the article, you might like to think about writing a Practice Profile. Guidelines to help you write and submit a profile are outlined on page 56. TIME OUT 9 Empathy with the patient is one factor in a therapeutic relationship. List what other factors are important. Reflect on why touch would be so important . . . . . . make it feel comfortable. Use of bath oils and soap substitutes will prevent the loss of the skins natural oils and help to rebuild the barrier. Patient preference for individual bath oils or soap substitutes is essential for compliance; those who get recurring infections should be encouraged to use a product that contains an antiseptic and those who are allergic to perfume should avoid using bath oils with fragrance in them. They should be warned that . . . . . . factors are important. Reflect on why touch would be so important when caring for a patient with dermatological problems. TIME OUT 8 SUGGESTED FURTHER READING Bridgett C (1996) Atopic Skin Disease: A Manual for Practitioners. Petersfield, Wrightson Biomedical. Lawton S (1998) The management of atopic eczema : the Tubifast wet wrap technique. Prescriber. April (Suppl) 19. Marrs R (1990) An individual approach to ease frustration: . . . . . . dermatological problems. TIME OUT 8 SUGGESTED FURTHER READING Bridgett C (1996) Atopic Skin Disease: A Manual for Practitioners. Petersfield, Wrightson Biomedical. Lawton S (1998) The management of atopic eczema : the Tubifast wet wrap technique. Prescriber. April (Suppl) 19. Marrs R (1990) An individual approach to ease frustration: helping people with eczema . Professional Nurse. 5, 10, 522-528. USEFUL CONTACTS Latex Allergy . . . --3000,6,250,3439,44920
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