Mẹo A healthy older adult client complains of dry itchy skin the correct response by the nurse is
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Nội dung chính - Ask Your Health Care Team about Skin and Nail ChangesWays to prevent or manage mild skin and nail changes during cancer treatmentTalking with
your health care team about skin and nail changesWhich technique should the nurse use to properly assess a client's skin turgor?What may an older client complain of when experiencing decreased cardiac output?Which components would the nurse assess during palpation of the skin?Which techniques can the nurse use for collecting patient assessment data?
When cancer treatments cause skin and nail problems, there are creams and lotions that can help your skin to feel better.
Credit: iStock
Cancer treatments may cause skin and nail changes. Talk with your health care team to learn what side effects your treatment may cause. While skin problems caused by radiation therapy and chemotherapy are often mild, they may be more severe if you are receiving a stem cell transplant, targeted therapy, or immunotherapy. Let your health care team know if you notice any skin changes so they can be treated promptly.
- Sometimes radiation therapy can cause the skin on the part of your body toàn thân receiving radiation to become dry and peel, itch (called
pruritus), and turn red or darker. Your skin may look sunburned or become swollen or puffy. You may develop sores that become painful, wet, and infected. This is called a
moist reaction.Some types of chemotherapy can cause your skin to become dry, itchy, red or darker, or
peel. You may develop a minor rash or sunburn easily; this is called photosensitivity. Some people also have skin pigmentation changes. Your nails may be dark and cracked, and your cuticles may hurt. If you received radiation therapy in the past, the area of skin where you received radiation may become red,
blister, peel, or hurt. This is called radiation recall. Signs of an
allergic response to chemotherapy may include a sudden or severe rash or hives or a burning sensation.Stem cell transplants can cause graft-versus-host disease
(GVHD), which may cause skin problems such as a rash, blisters, or thickening of the skin.Some types of
immunotherapy can cause a severe and sometimes extensive rash. Your skin may be dry or blister.Some
types of targeted therapy may cause dry skin, a rash, and nail problems. If you develop a rash, it is important to talk with your doctor before stopping
targeted therapy.
Ask Your Health Care Team about Skin and Nail Changes
- What skin and nail changes might I have, based on the cancer treatment I am receiving?Which symptoms can be managed home? Which symptoms need urgent medical care?
If you have a severe, extensive, blistering, or painful rash and are receiving immunotherapy, call your doctor to get their advice. It’s especially important to call about rashes that involve the eyes or a mucous membrane, such as your mouth, caused by immunotherapy.
Make note of all problems you should call your health care team about.
Skin changes:
- acne (acneiform eruptions)bed sores (pressure
ulcers)blistersburning or skin paindry skinhand-foot syndrome (palmar-plantar erythrodysesthesia)hyperpigmentation (darker areas of skin, tongue, and joints)hypopigmentation (patches of skin that are lighter)itchy skin
(pruritus)keratoacanthoma (dome-shaped skin growth)peeling, flakey, or crusty
skinphotosensitivity (sunburn easily)rashred or darkened skinsores that are painfulswollen skin
Nail changes:
- cracked nailscuticles that are swollen and/or painfulnail infections (acute paronychia)yellow nails
Ways to prevent or manage mild skin and nail changes during cancer treatment
Talk with your health care team to learn if you should manage these problems home. Depending upon the treatment you are receiving, your health care team may advise you to take these steps:
- Use only
recommended skin products. Use mild soaps that are gentle on your skin. Ask your nurse to recommend specific skin products. If you are receiving radiation therapy, ask about skin products, such as powder or antiperspirant, that you should avoid using before treatment.Prevent infection. Radiation therapy can cause skin in the treatment area to peel, become painful, and wet. Most often this happens in areas where the skin folds, such as around your
ears, breast, or bottom. Try to keep the area clean and dry so it does not become infected. Your nurse will talk with you about how to clean the area and may prescribe special dressings that you can apply to the area and/or antibiotics.Moisturize your skin. Use recommended creams or
lotions to prevent your skin from becoming dry and itchy. Irritated skin can become infected. Ask about special creams or ointments for severely dry, itchy, or painful skin.Protect your skin. Use sunscreen and sun-protective lip balm. Wear a loose-fitting long-sleeved shirt, pants, and a hat with a wide brim when outdoors to prevent sunburn. If you are receiving radiation therapy, don’t use heating pads, ice packs, or bandages on the treatment area. You may want to
shave less often and use an electric razor or stop shaving if your skin is tender and sore.Prevent or treat dry, itchy skin. Avoid products that list alcohol or fragrance as an ingredient, since they can dry or irritate your skin. Your nurse may suggest you add colloidal oatmeal to your baths, as it can
reduce itching. Take short showers or baths in lukewarm, not hot, water. Put on skin cream or ointment that is recommended by your nurse after drying off from a shower but while your skin is still a little damp. Apply a cool washcloth or ice to dry, itchy skin.Prevent or treat minor nail problems. Keep your nails clean and cut short to avoid accidentally tearing them. Protect your hands and nails by wearing gloves when you wash the dishes, or clean the house, for
example. Avoid getting manicures and pedicures. Don’t wear tight-fitting shoes. Ask your nurse to recommend products that can be used to treat nail problems.Learn about treatments for irritating or painful skin rashes. Sometimes skin problems need medical treatment. Your rash may be treated with a medicated cream (topical
corticosteroids) or with medicine that you take as a pill (oral corticosteroids or antibiotics).
Talking with your health care team about skin and nail changes
Prepare for your visit by making a list of questions to ask. Consider adding these questions to your list:
- What skin-and nail related side effects are common for the type of treatment I’m receiving?Are there steps I can take to prevent any of these problems?What problems should I call you about? Are there any problems that need urgent medical care?When might these problems start? How long might they
last?What brands of soap and lotion would you advise me to use on my skin? On my nails?Are there skin and nail products I should avoid?Should I see a dermatologist so I can learn more about how to prevent or manage skin problems?
Listen to tips on how to manage
mild skin changes caused by cancer treatments such as radiation therapy.
(Type: MP3 | Time: 2:20 | Size: 2.2MB)
Which technique should the nurse use to properly assess a client's skin turgor?
To check for skin turgor, gently grasp skin on the patient's lower arm between two fingers so that it is tented upwards, and then release. Skin with normal turgor snaps rapidly back to its normal position, but skin with poor turgor takes additional time to return to its normal position.What may an older client complain of when experiencing decreased cardiac output?
These symptoms include diminished quality of peripheral pulses, cold and clammy skin and extremities, increased respiratory rate, presence of paroxysmal nocturnal dyspnea or orthopnea, increased heart rate, neck vein distention, decreased level of consciousness, and presence of edema.Which components would the nurse assess during palpation of the skin?
Palpation is used to make judgments about abnormal and normal findings of the skin or underlying tissue, muscle, and bones. In the inspection technique, the nurse observes the size, shape, color, symmetry, position, and abnormality of various body toàn thân parts.Which techniques can the nurse use for collecting patient assessment data?
A structured physical examination allows the nurse to obtain a complete assessment of the patient. Observation/inspection, palpation, percussion and auscultation are techniques used to gather information. Clinical judgment should be used to decide on the extent of assessment required. Tải thêm tài liệu liên quan đến nội dung bài viết A healthy older adult client complains of dry itchy skin the correct response by the nurse is
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