Principles of Skin Care and the Oncology Patient

Description

Patients undergoing cancer treatment frequently ask healthcare professionals to assess some variation of rash, abrasion, ulceration, pruritus, or inflammatory cutaneous reaction. Nurses are challenged to provide effective care for oncology patients who develop skin problems associated with the toxicities of chemotherapy, radiation, or combination therapies. With newer pharmaceutical agents and advanced technology in radiation therapy allowing higher treatment doses, the incidence and severity of alterations in skin integrity are increasing. Principles of Skin Care and the Oncology Patient, edited by Marilyn L. Haas and Giselle J. Moore-Higgs, provides comprehensive information to guide practitioners in caring for the patient with cancer who has developed skin problems.

Alterations in skin integrity in patients with cancer can present a significant clinical challenge. The purpose of this book is to provide evidence-based principles and practice guidelines for the assessment and management of such alterations. Chapters include discussion of:

• The impact of the alteration of skin integrity on the management of the patient
• What to expect from a variety of conditions
• Compounding factors
• Management options for healing or palliation of symptoms.
• Featuring color photos and evidence-based interventions, this book is a must-have in any clinical setting.

Table of Contents

Chapter 1 Overview of Skin Issues Related to the Oncology Patient

• Introduction
• Epidermis
• Dermis
• Subcutaneous Layer
• Accessory Organs of the Skin
• Soft Tissue
• The Healing Process
• Skin Burns
• Impaired Skin and Wound Healing During Cancer Treatment
• Impaired Wound Healing in Non-Comorbid Disease
• Paradigm of Support for Wound Healing
• Conclusion
• References

Chapter 2 Common Drug Reactions With Cutaneous Manifestations

• Introduction
• Classifications and Physiology of Cutaneous Drug Reactions
• Description of the Cutaneous Reaction and Clinical Manifestations
• Cutaneous Reactions From Common Drugs
• Nursing Evaluation of a Cutaneous Drug Reaction
• Nursing Management
• Compounding Factors
• Conclusion
• References

Chapter 3 Benign Skin Disorders: Impact on Cancer Therapy

• Introduction
• Skin Infections
• Benign Tumors
• Pigment Disorders
• Inflammatory Disorders
• Collagen Vascular Disease
• Conclusion
• References

Chapter 4 Malignant Cutaneous Diseases

• Introduction
• Common Primary Skin Malignancies
• Uncommon Primary Skin Malignancies
• General Care
• Patient Education
• Conclusion
• References

Chapter 5 Wound Care Products and Treatments

• Introduction
• Selected Wound Dressings
• Negative Pressure Wound Therapy
• Hyperbaric Oxygen Therapy
• Conclusion
• References

Chapter 6 Radiation-Induced Skin Reactions

• Introduction
• Physiology of Radiation-Induced Skin Reactions
• Assessment and Clinical Documentation Tools
• Special Populations
• Treatment of Skin Reactions: Evidence-BasedManagement
• Conclusion
• References

Chapter 7 Systemic Therapy-Induced Skin Reactions

• Introduction
• Skin Assessment in the Oncology Patient
• Chemotherapy-Induced Skin Manifestations
• Hormonal Agents and Associated Skin Manifestations
• Biotherapy-Induced Skin Manifestations
• Targeted Therapies and Associated Skin Manifeastations
• Supportive Therapy-Induced Skin Manifestations
• Conclusion
• References

Chapter 8 Cutaneous Effects of Blood and Marrow Transplantation

• Introduction
• Acute Graft-Versus-Host Disease
• Chronic Graft-Versus-Host Disease
• Palmar-Plantar Erythrodysesthesia
• Nursing Implications for Cutaneous Graft-Versus-Host Disease and Palmar-Plantar Erythrodysesthesia
• Conclusion
• Refernces

Chapter 9 Impact of Chronic Disease on Wound Healing

• Introduction
• Overview of Wound Healing
• Impediments to Wound Healing
• The Effects of Chronic Diseases on Wound Healing
• Conclusion
• References

Chapter 10 Impact of Systemic and Infectious Skin Disease During Cancer Treatment

• Introduction
• Psoriasis
• Scleroderma
• Herpes Simplex and Varicella Zoster
• Vitiligo
• Mycobacterium
• Candidiasis
• Conclusion
• References

Chapter 11 Skin and Wound Pain: Assessment and Management

• Introduction
• Types of Pain
• Pain Assessment
• Pain Management
• Conclusion
• References

Chapter 12 Psychological Distress Related to Skin Problems in the Oncology Patient Population

• Introduction
• Chronic Wounds
• Assessment
• Treatment
• Conclusion
• References

Chapter 13 Nutrition Needs for Healing Skin

• Introduction
• Malnutrition
• Energy Requirements
• Protein Requirements
• Hydration
• Fasting and Surgical Procedures
• Nutrients Affecting Wound Healing
• Antioxidants and Radiation Therapy
• Comorbidities
• Conclusion
• References

Chapter 14 Complementary Therapies for Oncology Cutaneous Reactions

• Introduction
• Plant Extracts
• Chinese Herbal Ointment
• Essential Oils
• Other Preparations
• Conclusion
• References

Chapter 15 Special Needs of Gero-Oncology Patients

• Introduction
• Framework
• Functional Reserve
• Aging Skin
• Considerations in Clinical Management
• Implications for the Future
• Conclusion
• References
• Index