Week 10 - Interventions

Question 1

How can we maintain healthy skin? (3)

Answer 1

1. Thermoregulation/fluid and electrolyte balance (keeping hydrated)
2. Protection
3. Inspection

Question 2

What are personal care practices for our skin? (2, 5)

Answer 2

1. Protection of epithelium of skin
   - dryness, moisture
   - method of drying
2. Protection from injury
   - ex. falling

Question 3

How can we prevent sun damage?

Answer 3

• use SPF 15 AT LEAST

Question 4

How can we protect injury from abrasive forces?

Answer 4

• Protect epithelium from shearing

Question 5

What are interventions to reduce the risk of skin impairment? (3, 6)

Answer 5

1. Educate on risk of photodamage and smoke damage
2. Education on observation of skin
   - moles
3. Recognize skin problems r/t CVD because it can lead to serious infections
   - Mild dermatitis (inflammation of the skin), to ulceration and gangrene
   - prevent trauma to skin

Question 6

What are interventions to xerosis? (6)

Answer 6

• keep the skin hydrated
• Use skin products that help retain moisture of skin
• lubricants and oils, petroleum jelly, zinc oxide (protects skin)

Tx: treat dehydration and reduce environment stressors
- tepid bath rather than hot bath
- Environmental humidity at 60%

Question 7

How can we treat pruritus? (4)

Answer 7

• reduce itching
• rehydration of skin
• cool compresses or baths with oatmeal
• epsom salts

Question 8

How can we prevent Herpes Zolster?

Answer 8

vaccines

Question 9

How can we treat Shingles? (3)

Answer 9

• medical and pain management
• Antiviral medication and pain management
• Emotional support

Question 10

How can we assess for foot problems? (3)

Answer 10

• observe the gait
• Past MHx
• assess feet

Question 11

How should we care for toenails? (2)

Answer 11

1. Trim after bath
2. Trimmed straight across

Question 12

Who should perform footcare for people with diabetes? Ingrowns? (3)

Answer 12

• trained nurse or podiatrist
• never at a commercial establishment
• Ingrowns must be done by specialist as well

Question 13

What can improve symptoms of arthritis in terms of the foot? (2)

Answer 13

proper footwear
- firm soles may decrease pain associated with walking

Question 14

How should we care for corns and calluses? (3)

Answer 14

1. Oval crn pads, moleskins or lambswool, gelpads
2. Daily lubrication
3. Better fitting shoes

Question 15

How should we care for bunions? (2)

Answer 15

• medical management
• Shoes that do not add pressure to the area

Question 16

How should we care for hammer toes?

Answer 16

non-constricting footwear

Question 17

How should we care for fungal infections? (2)

Answer 17

• difficult to treat medically
• Keep feet dry and hygiene