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Skin care product selection

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Skin care product selection The PH of the skin is 5.5 Urine and faeces are alkaline which cause a chemical reaction when a patient is incontinent Identify some common ... – PowerPoint PPT presentation

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Title: Skin care product selection


1
Skin care product selection
2
  • The PH of the skin is 5.5
  • Urine and faeces are alkaline which cause a
    chemical reaction when a patient is incontinent

3
Identify some common skin conditions
4
Common skin problems
  • Maceration
  • Excoriation
  • Dryness
  • Fragility
  • Blistering
  • Skin stripping
  • Scarring

5
Maceration
  • Softening and breaking down of the skin from
    prolonged exposure to moisture.
  • Proteases found in chronic wound exudate actively
    damage healthy tissue.
  • Maceration is more common in chronic wounds

6
Maceration may delay healing enlarge
wounds Increase pain
7
Treatment
  • Manage exudate appropriately.
  • Use of barrier film such as cavilon.

8
Excoriation
9
excoriation
  • Identify and resolve incontinence
  • Use of barrier creams
  • Urine collection devices

10
ECZEMA
11
Signs and symptoms
  • Itching/ puritis
  • Redness
  • Vesicles / blisters

12
Contact sensitivity
  • Dressings
  • Bandages
  • Lotions / creams
  • Topical antibiotics
  • Consider patch testing / dermatology referral

13
Skin dryness/ dehydration
  • Hydration normally maintained by sebum secreation
    and intact stratum corneum

14
(No Transcript)
15
Causes of dryness
  • Systematic dehydration
  • Dermatological conditions
  • Inappropriate dressings
  • Ageing hormonal changes
  • Enviromental soap
  • Medications steroids interfere with epidermal
    regeneration and collagen synthesis.

16
Emollients
  • Regular use of emollients or mosturisers will
    prevent dry skin and acute flares thereby
    improving skin health
  • (British dermatology nursing group 2010)

17
  • Dry skin is usually itchy and leads to
    inflammation this is usually the first in the
    development of atopic eczema.
  • These skin changes lead to a decrease in natural
    moisturising factors.

18
  • Washing with alkaline soap reduces the thickness
    and number of layers within the skin.
  • Excess use of soaps / detergents can interfere
    with the water holding capacity of the skin and
    alter PH

19
  • Emollients are available in many formulations and
    patients should be encouraged to replace soaps
    with emmollient washes.

20
Which product to use?
  • Patient preference
  • Consistency required
  • Ingredients
  • Cost

21
Patient preference
  • May not like the thick ointments that stain
    clothes lighter creams are more easliy
    absorbed.
  • May not like odour.
  • Bath additives
  • Soap substitutes
  • Leave on emmollients

22
Consistency
  • Creams
  • Lighter in consistency
  • Spreads easily but absorbed quicker
  • Ointments
  • Thicker and are more greasy.
  • Have occlusive effect and retain water in the
    skin
  • Better when high exudate.

23
Humectants
  • Humectant moisturisers replace the skins natural
    moisturising factors (e.g Urea and glycerol)
    therby attracting and retaining water in the skin
    cells.
  • eg hydromol

24
Aqueous cream
  • Recent research ahs found that if aqeous cream
    may cause irritation due to sodium lauryl
    sulphate which damages the skins barrier
    properties ( Cork et al 2003)

25
Ingredients
  • May include known sensitisers such as lanolin
    preservatives and fragrance (eg E45).
  • Nut derivatives ( eg arachais oil)

26
Emollient guidelines (PCDS/BAD atopic eczema 2006)
  • Apply liberally and frequently every four hours
    (qds)
  • Patients underestimate quantity needed and
    application frequency large quantities should
    be prescribed 600g/week
  • Quantity and frequency should be far greater than
    steroid therapy.
  • Education on how to use emollients is important
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