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British Journal of Community Nursing Apr 2023Skin care is an essential part of lymphoedema management, and has been classed as one of the 'four cornerstones of lymphoedema care' by the British Lymphology Society....
Skin care is an essential part of lymphoedema management, and has been classed as one of the 'four cornerstones of lymphoedema care' by the British Lymphology Society. However, there is a lack of evidence-based guidelines and skin care protocols, which advice individuals with lymphoedema on how to look after their affected skin. In this article, Anita Hobday provides guidance on how to create a skin care routine for people affected with lymphoedema.
Topics: Humans; Lymphedema; Skin Care
PubMed: 36989289
DOI: 10.12968/bjcn.2023.28.Sup4.S12 -
Advances in Skin & Wound Care Nov 2022To systematically review recommendations for promoting and maintaining skin integrity in end-of-life care and their level of evidence.
OBJECTIVE
To systematically review recommendations for promoting and maintaining skin integrity in end-of-life care and their level of evidence.
DATA SOURCES
MEDLINE (PubMed interface), CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE, and The Cochrane Library were systematically searched using a combination of key terms including end-of-life care , skin care , skin hygiene , and skin cleansing .
STUDY SELECTION
Articles were included if they (1) described skin care recommendations, including but not limited to the use of skin care products and interventions such as cleansing procedures; and (2) included adult patients who were expected to die within 12 months. There were no restrictions on study design, study setting, or language. Articles with a publication date before 2000 were excluded.
DATA EXTRACTION
Two data extraction forms were developed. The first included information about the author, publication year, type of evidence, study topic, sample, sample size, setting, limitations of the study, level of evidence, and quality of the study. The second included recommendations for promoting and maintaining skin integrity in patients at the end of life.
DATA SYNTHESIS
Because of methodological heterogeneity, results were synthesized narratively, and no meta-analysis was performed.
CONCLUSIONS
The information contained in the recommendations will assist nurses in promoting and maintaining skin integrity in patients at the end of life. More research is needed on end-of-life skin care, with an emphasis on patient-centered, holistic strategies that improve patient well-being and quality of life. In most current research, recommendations are limited to literature reviews and level V evidence. Skin care must balance the promotion and maintenance of skin integrity, wound prevention, and management while promoting patient dignity and quality of life.
Topics: Humans; Adult; Quality of Life; Skin Care; Terminal Care; Skin; Death
PubMed: 35819923
DOI: 10.1097/01.ASW.0000833616.40632.40 -
Diabetes Care Oct 2023Diabetes devices that deliver insulin and measure blood glucose levels are cornerstones in modern treatment of type 1 diabetes. However, their use is frequently...
OBJECTIVE
Diabetes devices that deliver insulin and measure blood glucose levels are cornerstones in modern treatment of type 1 diabetes. However, their use is frequently associated with the development of skin problems, particularly eczema and wounds. Proper skin care may prevent skin problems, yet evidence-based information from interventional studies is missing. Providing this information is the aim of this study.
RESEARCH DESIGN AND METHODS
This cluster-controlled intervention study tested the efficacy of a basic skin care program (including use of lipid cream, removal, and avoidance of disinfection). A total of 170 children and adolescents with type 1 diabetes were included and assigned either to the intervention group (n = 112) or the control group (n = 58). Participants were seen quarterly the first year after device initiation, with clinical assessment and interview in an unblinded setting.
RESULTS
Eczema or wounds were observed in 33.6% of the intervention group compared with 46.6% of control participants (absolute difference, 12.9% [95% CI -28.7%, 2.9%]; P = 0.10). The adjusted odds of wound development were decreased by 71% in the intervention compared with control group (for wounds, odds ratio 0.29 [95% CI 0.12, 0.68]; P = 0.005). In total, only eight infections were seen, without a higher frequency in the intervention group, despite advice to omit disinfection.
CONCLUSIONS
These data indicate our basic skin care program partially prevented diabetes device-induced skin reactions. However, more preventive strategies with other adhesives, patches, and/or types of lotions are needed for optimized prevention.
Topics: Adolescent; Child; Humans; Diabetes Mellitus, Type 1; Eczema; Insulin; Research Design; Skin Care
PubMed: 37478335
DOI: 10.2337/dc23-0462 -
MMW Fortschritte Der Medizin May 2021
Review
Topics: COVID-19; Compulsive Behavior; Humans; Intertrigo; SARS-CoV-2; Skin Care
PubMed: 34033032
DOI: 10.1007/s15006-021-9990-8 -
British Dental Journal Nov 2020
Topics: Emotions; Skin Care
PubMed: 33188317
DOI: 10.1038/s41415-020-2366-0 -
Journal of Wound, Ostomy, and...Survey data from the United Stated, the United Kingdom, and the Netherlands indicate peristomal itch is prevalant among ostomy patients. Pruritus has a significant... (Review)
Review
Survey data from the United Stated, the United Kingdom, and the Netherlands indicate peristomal itch is prevalant among ostomy patients. Pruritus has a significant negative impact on health-related quality of life, resulting in discomfort and interrupted sleep. In ostomy patients, peristomal skin scratching also may interfere with adherence of the ostomy pouching system. This article reviews the classification and pathophysiology of itch in the peristomal skin, along with options for its management.
Topics: Humans; Quality of Life; Ostomy; Skin; Skin Care; Pruritus
PubMed: 36099544
DOI: 10.1097/WON.0000000000000903 -
Journal of Cosmetic Dermatology Apr 2022Skin care for maintaining skin integrity includes cleansing, skin product use, and photoprotection. Inappropriate skin care can lead to skin problems.
BACKGROUND
Skin care for maintaining skin integrity includes cleansing, skin product use, and photoprotection. Inappropriate skin care can lead to skin problems.
AIMS
To evaluate the knowledge, attitude, and practices in skin care among Thai adolescents.
PATIENTS/METHODS
Questionnaire-based, descriptive, cross-sectional study.
RESULTS
A total of 588 Thai adolescent students (mean age: 15.6 ± 1.8 years, 50.5% female) were included. Of those who responded, 99.5% knew the benefits of cleansing, and 95.9% knew the benefits of skin care products. Skin products, moisturizer, and sunscreen were used by 87.8%, 80.8%, and 71.5% of students, respectively. Female teenagers used moisturizers, cosmetics, and sunscreen significantly more than males (p = 0.001, p = 0.001, and p < 0.001, respectively). High school teenagers applied cosmetics more than junior high school teenagers (p = 0.004). Ninety-three percent of adolescents knew the effects of sunlight, but only 27.4% regularly applied sunscreen. The sources of knowledge were from person, online social media, print media, and television/radio in 88.5%, 77.5%, 30.7%, and 26.1%, respectively. Data from physicians and parents were trusted by 65.3% and 64.2%, respectively. Most (74.1%) adolescents searched for data from more than 1 source. Adolescent females and high school adolescents demonstrated significantly more accurate knowledge and practice in cleansing and photoprotection (p < 0.001) compared with adolescent males and junior high school adolescents. Knowledge and practices did not significantly correlate with underlying skin diseases or monthly allowance.
CONCLUSION
Gender and education level were found to significantly influence knowledge and practice in skin care among adolescents in Thailand.
Topics: Adolescent; Cross-Sectional Studies; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Skin Care; Sunscreening Agents; Surveys and Questionnaires; Thailand
PubMed: 34153166
DOI: 10.1111/jocd.14309 -
Physical Medicine and Rehabilitation... Nov 2022The skin's ability to function optimally is compromised when skin integrity is altered. The goals for skin management during rehabilitation include maintaining skin... (Review)
Review
The skin's ability to function optimally is compromised when skin integrity is altered. The goals for skin management during rehabilitation include maintaining skin integrity, avoiding skin injury, providing early intervention, and comprehensive education for long-term skin management. Assessment of the whole patient as well as the skin is essential. Common issues seen in rehabilitation such as aging skin, incontinence dermatitis, intertrigo/yeast, surgical wounds, and pressure injuries are addressed.
Topics: Adult; Humans; Fecal Incontinence; Skin; Skin Care; Urinary Incontinence; Rehabilitation; Dermatitis; Intertrigo
PubMed: 36243467
DOI: 10.1016/j.pmr.2022.06.001 -
Plastic and Reconstructive Surgery Dec 2021Skin aging is an outward manifestation of other cellular and molecular aging processes occurring elsewhere in the body. These processes are known collectively as the... (Review)
Review
Skin aging is an outward manifestation of other cellular and molecular aging processes occurring elsewhere in the body. These processes are known collectively as the "hallmarks" of aging, which are a series of basic health maintenance mechanisms that fail over time. Cellular senescence is one of the most studied of the hallmarks of aging; senescent cells accumulate over time and are major drives of the aging process. Here, we discuss the impact of cellular senescence in the context of skin aging, and discuss the emerging landscape of interventions designed for their selective removal by targeted cell death (senolytics) or rejuvenation (senomorphics). We discuss the serotherapeutic strategies that are currently under investigation for systemic aging, which may bring eventual benefits for skin health. Next, we discuss a newly discovered hallmark of aging, dysregulated mRNA processing, which can be targeted for the senomorphic effect. Finally, we highlight a new modality for manipulation of disrupted mRNA processing, oligonucleotide therapeutics. The emerging field of senotherapeutics is set to revolutionize how we view and treat skin aging, and senotherapies are now poised to become a new class of skincare interventions.
Topics: Cellular Senescence; Humans; Rejuvenation; Senotherapeutics; Skin Aging; Skin Care
PubMed: 34847094
DOI: 10.1097/PRS.0000000000008782 -
Der Hautarzt; Zeitschrift Fur... Jan 2020Local edema is a common symptom in many skin diseases, especially in inflammatory or allergic reactions. Diseases of the lymphatic system can also lead to edema with... (Review)
Review
Local edema is a common symptom in many skin diseases, especially in inflammatory or allergic reactions. Diseases of the lymphatic system can also lead to edema with specific changes in the skin. Lymphedema is the result of primary genetic changes, which can also occur in the context of syndromes and can be traced to abnormal development of the lymphatic system. Secondary lymphedema usually develops after surgery, inflammatory reactions or chronic venous insufficiency (CVI). The microfiltrate that is transported in the tissue in healthy individuals via the lymphatic system is rich in proteins and induces fibrosis of the epidermis and dermis. In addition to edema, clinical signs include pachydermia, papillomatosis cutis lymphostatica, hyperkeratosis, lymph cysts, lymph fistulas, nail dystrophies and yellow nails. Basic therapy comprises complex decongestive therapy (CDT: manual lymph drainage, compression, physical exercise/sports, skin care and instructions regarding self-management). Intermittent compression can also be applied. Comorbidities such as obesity and diabetes mellitus may aggravate the situation and must be treated. Adequate therapy can reduce sequelae of the skin.
Topics: Drainage; Edema; Humans; Lymphedema; Massage; Skin Care
PubMed: 31912161
DOI: 10.1007/s00105-019-04523-z