Supporting your patients
In addition to prescribing appropriate treatments, a significant part of managing eczema is related to educating patients and providing holistic care.
Adherence is often a problem amongst people with eczema due to mistaken perceptions about treatment. For example, surveys have shown that a significant proportion of people do not use prescribed topical steroids because they are worried about possible side effects.1 However, a study in 51 children followed for up to 1 year showed that explanation and demonstration of how to use topical therapies correctly can have a marked beneficial effect on adherence and treatment outcomes2
- The impact their atopic eczema is having on them (and if appropriate the impact on families and carers)
- The effect it may be having on their schoolwork, career, sporting activities, hobbies and social life
- Whether they are suffering from sleep disturbance due to itching and/or scratching
- If their interpersonal relationships are suffering
References:
- 1.National Collaborating Centre for Women's and Children's Health. Atopic eczema in children: management of atopic eczema in children from birth up to the age of 12 years. Clinical Guideline December 2007 (NICE Eczema Full Guideline) www.nice.org.uk
- 2.Cork MJ et al (2003) Comparison of parent knowledge, therapy utilisation and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. Br J Dermatol, 149, 582-589
