skin-care-3.matches: skin care
Teledermatology as a new tool in sub-saharan Africa: an experience from Tanzania.

Schmid-Grendelmeier P, Masenga EJ, Haeffner A, Burg G.

Regional Dermatology Training Centre at KCMC, Moshi, and the Department of Dermatology, University Hospital, Zurich, Switzerland.

Large areas of sub-Saharan Africa suffer a substantial lack of skin care. Hence teledermatology, meaning the online visual exchange of clinical and histologic data, could develop into a powerful medical resource. We report the first established teledermatologic connection in this area: between the Regional Dermatology Training Centre (RDTC) in Moshi, Northern Tanzania, and the Department of Dermatology, University Hospital of Zurich, Switzerland. This report illustrates local difficulties as well as the considerable potential of teledermatology in such a setting.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10775865&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Portrait of practice: developing a systematic approach for the management of pressure ulcers.

Lackey TC, Bickford BE, Howe KP.

Pressure ulcer management is an increasingly serious problem for the healthcare industry. It is necessary for acute care facilities to examine the benefits of developing a comprehensive skin care protocol for pressure ulcer management. Increased and continuous staff awareness produces quality patient care and cost effectiveness. The description of the development, use, and auditing of a skin care protocol by Western Reserve Care System is representative of many institutions across the country.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1558693&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Teaching students about pressure sores.

Gould D.

The author reviews work she completed in 1985 which looked at the provision of education on pressure sores at basic and post-basic level in colleges of nursing, and concludes that although awareness of relevant issues has been raised in the interim, there is evidence that the methods used to teach skin care to students is inappropriate. A strategy for education on pressure sores is introduced, based on the essential tenets of the nursing process.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1562478&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Facial moisturizers and wrinkles.

Jackson EM.

Facial moisturizers are part of the cosmetic category known as skin care products, which also includes other facial products such as astringents, toners, soaps, and bath products. This article describes the composition and pharmaceutics of currently marketed moisturizers, the use of fragrances and preservatives in these products, how cosmetic facial moisturizers work on wrinkles, sunscreen-containing facial moisturizers, and the Food and Drug Administration's record regulating drug claims for anti-wrinkling products.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1610625&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Early and late radiation-induced skin alterations. Part II: Nursing care of irradiated skin.

Sitton E.

Kenneth Norris Jr. Cancer Hospital, Los Angeles, CA.

Teaching patients how to care for irradiated skin during and after a course of radiation therapy is a major concern of oncology nurses. Part I of this two-part article (ONF 19(5):801-807) focused on the mechanisms of skin injury. Many topical preparations are available for skin care. When these substances are applied, both the active ingredient and the vehicle must be appropriate for the condition being treated. Preparations may be applied to the skin as liquids (e.g., lotions, solutions, tinctures used in wet dressings, soaks, baths) or solids (e.g., powders, creams, ointments). As skin reaction progresses during a course of radiation therapy, recommendations for skin care will change. Healing of injury occurs in three stages: inflammation, proliferation, and maturation. Wound healing proceeds more rapidly in a moist environment, and a variety of occlusive dressings can be used with moist desquamation.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1635872&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Risk taking among diabetic clients.

Joseph DH, Schwartz-Barcott D, Patterson B.

Diabetic clients must make daily decisions about their health care needs. Observational and anecdotal evidence suggests that vast differences exist between the kinds of choices diabetic clients make and the kinds of chances they are willing to take. The purpose of this investigation was to develop a diabetic risk-assessment tool. This instrument, which is based on subjective expected utility theory, measures risk-prone and risk-averse behavior. Initial findings from a pilot study of 18 women clients who are on insulin indicate that patterns of risk behavior exist in the areas of exercise, skin care, and diet.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1729123&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Structured skin care regimen to prevent perineal dermatitis in the elderly.

Lyder CH, Clemes-Lowrance C, Davis A, Sullivan L, Zucker A.

A preliminary investigation was conducted to determine the efficacy of a structured skin care regimen to prevent perineal dermatitis in incontinent geriatric psychiatry patients. A 10-week, prospective, clinical trial was conducted (n = 15). Four weeks (weeks 2 to 5) were devoted to monitoring the unstructured pretreatment nursing skin care practice and to determining the incidence of perineal dermatitis in incontinent patients. Four weeks (weeks 7 to 10) were also spent implementing and observing the structured nursing skin care regimen. The study revealed that 33% (three) of the subjects in the unstructured skin care group and 33% (two) of the subjects in the structured skin care group had perineal dermatitis. In subjects with a combination of urine and stool incontinence perineal dermatitis developed within 2 days. The findings suggest that perineal dermatitis occurs quickly in the presence of urine and stool incontinence. Further research is needed to validate the efficacy of a structured skin care regimen to prevent perineal dermatitis.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1734977&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
The prevalence and incidence of pressure ulcers in the hospice setting: analysis of two methodologies.

Hanson D, Langemo DK, Olson B, Hunter S, Sauvage TR, Burd C, Cathcart-Silberberg T.

Hospice patients may be at greater risk of pressure ulcer development than most patients. This descriptive study explored the prevalence and incidence of pressure ulcers in the hospice setting, utilizing both a prospective and retrospective methodological approach. Levine's theory of the four principles of conservation formed the theoretical basis for the study, and the Braden Scale for Predicting Pressure Ulcer Risk was used for data collection. Prevalence of pressure ulcers was noted to be 13 percent in the study. Incidence of pressure ulcers was found to be zero percent using prospective methodology and 13 percent using retrospective methodology. Five of eight ulcers (62 percent) occurred within two weeks of patient death. Factors related to pressure ulcer development are presented, as well as a discussion of using research methodologies in the hospice setting. The article suggests the need for preventive protocols for skin care for patients who are at risk for pressure ulcer development.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1742139&dopt=Abstract skin, skin care, skin care medicine