RESUMEN
Epidermis bullosa is a genetically inherited disease in which painful blistering of the skin or mucous membranes occurs after minor trauma. It is a lifelong problem. The diagnosis should be confirmed by a specialist, preferably at a specialist unit where a treatment plan and follow-up arrangements for professionals and families can be put in place. Nurses will be involved in frequent dressings of wounds, after extra analgesia, and may need to be alert to any need for further specialist referral, especially in the case of complications such as infection, deformities, gastrointestinal strictures and possible skin cancers. Genetic counselling should also be offered to families, especially when considering the possible risks to future pregnancies.
Asunto(s)
Vendajes , Epidermólisis Ampollosa/enfermería , Servicios de Atención de Salud a Domicilio , Manejo del Dolor/enfermería , Derivación y Consulta , Cuidados de la Piel/enfermería , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/etiología , Carcinoma de Células Escamosas/enfermería , Cicatriz/etiología , Cicatriz/enfermería , Estreñimiento/etiología , Estreñimiento/enfermería , Deshidratación/etiología , Deshidratación/enfermería , Manejo de la Enfermedad , Epidermólisis Ampollosa/complicaciones , Epidermólisis Ampollosa/diagnóstico , Asesoramiento Genético , Humanos , Prurito/etiología , Prurito/enfermería , Enfermedades Cutáneas Bacterianas/etiología , Enfermedades Cutáneas Bacterianas/enfermería , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/etiología , Neoplasias Cutáneas/enfermeríaAsunto(s)
Antimetabolitos Antineoplásicos/uso terapéutico , Queratosis Actínica/diagnóstico , Queratosis Actínica/tratamiento farmacológico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Aminoquinolinas/uso terapéutico , Crioterapia , Femenino , Fluorouracilo/uso terapéutico , Humanos , Imiquimod , Masculino , Persona de Mediana Edad , Fotoquimioterapia , Trastornos por Fotosensibilidad/diagnóstico , Trastornos por Fotosensibilidad/tratamiento farmacológico , Retinoides/uso terapéutico , Ácido Salicílico/uso terapéutico , Adulto JovenRESUMEN
The old saying, 'a stitch in time saves nine' is particularly true in the management of eczema. Early diagnosis and the recognition of an underlying cause can mean that more simple measures, such as moisturizers, may be sufficient to keep eczema under control, while the identification of an allergic stimulus can forestall further problems. Equally, being aware of what action to take when a course of treatment is ineffective, and having the ability to teach parents and families to realize when they need extra help, may allow changes to be made that will restore control of the condition more quickly. An understanding and empathetic ear may make all the difference when a patient is having to come to terms with eczema. This article discusses the aetiology and symptoms of different types of eczema, and summarises the range of available options for the management of this often disruptive condition.
Asunto(s)
Fármacos Dermatológicos/uso terapéutico , Enfermedades Cutáneas Eccematosas/diagnóstico , Enfermedades Cutáneas Eccematosas/tratamiento farmacológico , Administración Tópica , Antibacterianos/uso terapéutico , Diagnóstico Diferencial , Emolientes/uso terapéutico , Humanos , Enfermedades Cutáneas Eccematosas/etiología , Esteroides/administración & dosificaciónRESUMEN
Shingles is a common problem and will affect a fifth of the population at some time in their lives (Opstelten, 2005). It may occur at any age but the incidence and severity of the condition increases with age (Johnson et al, 2008). It is therefore likely that community nurses, in their day-to-day work with older people, will encounter the problem. If they are able to recognize it and arrange treatment in the earlier stages of its development, they will be in the position of helping to speed the resolution of the rash and reduce the debilitating consequences that may follow, in particular in the form of post-herpetic pain, which may affect the patient for weeks, months or even years after the active stage is over, visual complications following ophthalmic herpes zoster or zoster encephalitis that may be fatal. Apart from pain and future of the patient, the condition may require the disruptive and expensive option of hospital admission. The possibility of the introduction of a new vaccine, that would reduce the incidence of shingles, will also be discussed.
Asunto(s)
Enfermería en Salud Comunitaria/organización & administración , Herpes Zóster/complicaciones , Herpes Zóster/terapia , Distribución por Edad , Anciano , Herpes Zóster/diagnóstico , Herpes Zóster/epidemiología , Vacuna contra el Herpes Zóster , Humanos , Control de Infecciones/métodos , Admisión del Paciente , Cuidados de la Piel/métodos , Cuidados de la Piel/enfermería , VacunaciónRESUMEN
Community nurses are in daily contact with patients and, in the course of their day's work, have every opportunity of recognizing those patients who are more vulnerable to the sun's rays, and noticing actual sun damage and actinic keratoses. They are then able to check other sun-exposed areas such as the face, ears, scalp, back and limbs to discover any other lesions or more serious problems of basal cell carcinoma, squamous cell carcinoma or malignant melanoma the would require referral, sometimes urgently, to a dermatologist for full assessment and treatment. In any case, sound advice about further protection from the sun, both for themselves and their families may help to reduce the likelihood of further problems.