Childhood eczema

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Childhood eczema
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Adams eczema

• Adam is 5 years old
• He has had mild to moderate eczema since birth
• His mother applies emollient regularly, but he
  still suffers from frequent flare-ups
• Adam has come in to hospital for a completely
  unrelated condition

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What might you talk to Adam and his Mum about?
Triggers
Teasing or bullying
Treatment
Impact on his daily life
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Now focusing on Adams treatment routine

• What questions should you ask Adam and his Mum?

• How often does he use emollients?
• How many times a day?
• Even at school?
• How much does he use?

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Now focusing on Adams treatment routine

• What questions should you ask Adam and his Mum?
• How often does he use emollients?
• How many times a day?
• Even at school?
• How much does he use?

• Adam uses emollient
• Every day when his eczema is bad
• Before bedtime
• He doesnt use it when his skin is clear

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What could you suggest to improve Adams routine?
Educate Adam and his Mum about how often and
how much to use
Recommend they use a bath emollientinstead of
bubble bath
Ensure they have arange of preparations to
fitwith his daily emollient routine
Suggest ways to makeapplying his emollient fun
Advise his Mum to speakto his school
aboutdaytime applications
Encourage them to havecatch up time after
schoolto chat and apply emollient
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How might Adams eczema be affecting his daily
life?

• Friendships at school?
• Concentration levels due to sleep disturbance?
• Missing out on activities?

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How might Adams eczema be affecting his daily
life?

• Friendships at school?
• Concentration levels due to sleep disturbance?
• Missing out on activities?

Adam takes swimming lessons but misses them when
his eczema flares up
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How can you help Adam to swim in spite of flares?
Advise them that swimmingwith eczema is fine
help themto feel confident respondingto
comments or questions
Encourage them toapply emollient beforeswimming
to create abarrier that will protect his skin
Recommend that after swimming, they shouldshower
using an emollient and moisturise Adamsskin
with emollient after drying
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Summary slide

• Adams eczema was not under control because his
  emollient routine was not being maintained
  effectively
• By exploring ways to improve his routine, you can
  help to get Adams eczema back under control and
  reduce the frequency of his flares
• Giving Adam and his Mum practical tips and
  reassurance that will enable Adam to go to his
  swimming lessons, even when hes having a
  flare-up

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Date of preparation March 2008 Code DIP/08-438