Essay On Atopic Eczema
What is the best evidenced-based nursing practice related to patient adherence to the treatment of eczema. Atopic eczema (AE) also known as, atopic dermatitis (AD) is a common long term skin condition, which affects up to 17.5% of children worldwide (Mitchell & Fraser, 2014). Eczema treatment can be time consuming when it comes to applying the topical treatments, largely impacted by child resistance (Santer, 2014). It is crucial for parents to effectively manage symptoms and flare ups of AD, using pharmacological treatments, managing the allergy symptoms and ensuring that their child’s everyday needs are met as in dietary needs, sleep and adequate clothing (Son & Lim, 2014). It is becoming progressively difficult to overlook the poor adherence
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Carers identified barriers around eczema treatment and the time it takes to apply topical treatments, along with the child fighting the treatment, were all identified as barriers to treatment adherence. With some carers believing that emollients were ineffective as a treatment, with many unaware the role that emollients played in prevention of flare ups. There was caution around the use of topical corticosteroids. Carers determined the child was resistant, due to pain associated with applying the topical corticosteroid or emollients. Carers identified that they had intentionally decreased the frequency of treatment as a result of resistance, with the practice more seen in carers who were reluctant to use topical treatments (Santer, et al., 2013). Child behaviour management is critical to succeed in the treatments of atopic dermatitis. Acknowledging that the management of atopic dermatitis is made more difficult through the child’s lack of collaboration with their treatment, which created stress on both parent and child while trying to manage their treatment. Families with higher stress is related to greater probability of disease onset, with a decreased chance of disease resolution. Parents identified feelings of distress or lack of ability in regards to parenting children with atopic dermatitis, especially around managing unruly behaviour; and were felt reluctant
Carers identified barriers around eczema treatment and the time it takes to apply topical treatments, along with the child fighting the treatment, were all identified as barriers to treatment adherence. With some carers believing that emollients were ineffective as a treatment, with many unaware the role that emollients played in prevention of flare ups. There was caution around the use of topical corticosteroids. Carers determined the child was resistant, due to pain associated with applying the topical corticosteroid or emollients. Carers identified that they had intentionally decreased the frequency of treatment as a result of resistance, with the practice more seen in carers who were reluctant to use topical treatments (Santer, et al., 2013). Child behaviour management is critical to succeed in the treatments of atopic dermatitis. Acknowledging that the management of atopic dermatitis is made more difficult through the child’s lack of collaboration with their treatment, which created stress on both parent and child while trying to manage their treatment. Families with higher stress is related to greater probability of disease onset, with a decreased chance of disease resolution. Parents identified feelings of distress or lack of ability in regards to parenting children with atopic dermatitis, especially around managing unruly behaviour; and were felt reluctant