Document Detail


Evidence-based skin care management in radiation therapy: clinical update.
MedLine Citation:
PMID:  21514477     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To present a clinical update on the available evidence for the prevention and management of radiation skin reactions (radiodermatitis).
DATA SOURCES: Research studies, review articles, and clinical practice guidelines.
CONCLUSION: In the past 4 years since the publication of the original article, there has been minimal change in the evidence available to guide decisions and practice in the management of radiation skin reactions. There continues to be insufficient evidence in the literature to recommend a variety of topical or oral agents in the prevention of skin reactions. There have been some recent studies that have impacted decision making and recommendations in the management of skin reactions. Radiation treatment techniques are the most promising intervention in reducing the degree of skin reaction. The use of calendula cream may reduce the incidence of grade 2 or 3 reactions in women with breast cancer. The controversy related to the use of deodorant in the treatment field unfortunately continues in clinical settings, but deodorant use as part of routine hygiene is now recommended for practice.
IMPLICATIONS FOR NURSING PRACTICE: Oncology nurses need to be aware of the evidence and lack of evidence when recommending interventions to their patients and avoid undue marketing influence when suggesting interventions for the management of skin reactions. Further research is required to evaluate specific interventions in both the prevention and management of radiation dermatitis.
Authors:
Maurene McQuestion
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in oncology nursing     Volume:  27     ISSN:  1878-3449     ISO Abbreviation:  Semin Oncol Nurs     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8504688     Medline TA:  Semin Oncol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1-e17     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
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