Skin care product selection. The PH of the skin is 5.5 Urine and faeces are alkaline which cause a...
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Transcript of Skin care product selection. The PH of the skin is 5.5 Urine and faeces are alkaline which cause a...
![Page 1: 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.](https://reader034.fdocuments.net/reader034/viewer/2022042615/56649d0e5503460f949e39ad/html5/thumbnails/1.jpg)
Skin care product selection
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The PH of the skin is 5.5Urine and faeces are alkaline which
cause a chemical reaction when a patient is incontinent
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Identify some common skin conditions
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Common skin problems• Maceration• Excoriation• Dryness• Fragility• Blistering• Skin stripping• Scarring
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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
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Maceration may delay healingenlarge woundsIncrease pain
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Treatment• Manage exudate appropriately.• Use of barrier film such as cavilon.
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Excoriation
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excoriation
•Identify and resolve incontinence •Use of barrier creamsUrine collection devices
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ECZEMA
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Signs and symptomsItching/ puritisRednessVesicles / blisters
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Contact sensitivityDressingsBandagesLotions / creamsTopical antibioticsConsider patch testing /
dermatology referral
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Skin dryness/ dehydration
Hydration normally maintained by sebum
secreation and intact stratum corneum
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Cardiff and Vale NHS TrustYmddiriedolaeth GIG Caerdydd a’r Fro
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Causes of dryness
Systematic dehydrationDermatological conditionsInappropriate dressingsAgeing – hormonal changesEnviromental – soapMedications – steroids interfere with
epidermal regeneration and collagen synthesis.
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Emollients
Regular use of emollients or mosturisers will prevent dry skin and acute flares thereby improving skin health
(British dermatology nursing group 2010)
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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.
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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
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Emollients are available in many formulations and patients should be encouraged to replace soaps with emmollient washes.
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Which product to use?• Patient preference• Consistency required• Ingredients• Cost
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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
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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.
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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
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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)
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Ingredients
May include known sensitisers such as lanolin preservatives and fragrance (eg E45).
Nut derivatives ( eg arachais oil)
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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