During my practicum experience, one of the responsibilities that were given to me was to manage a patient suffering from eczema skin rash. Managing a patient and his family is often met with a lot of challenges. First, in order to achieve effective patient management, it was important for me to recognize how skin functions normally in children. This study talks about the journal review that covers how to manage eczema skin rash in a child as well as how to relate to the parents of the child.
One of the lessons that I learned during the practice is that as much as the structure of skin between children and adult is the same the nerve and blood vesicles in a toddler is not very mature. In this case, I had to employ a lot of care when handling the child in order to minimize any chance of mechanical or physical injury. When conducting the examination, the child easily coordinates if there is enough light in the hospital room (Carr, 2013). The family members were encouraged to carry toys so that they could distract the child to enable smooth examination process. Besides, more history concerning the childs skin condition was obtained from a verbal interview from the parents. According to Nedorost (2012) creating a proper relationship with the parents so that they could help in monitoring any change on their childs skin as well as to ensure that the child keeps taking drugs as prescribed.
One of the issues that I observed is that it was difficult to obtain comprehensive records concerning the eczema skin rash that the child was suffering. Doing assessment for the child had a lot of challenges simply because it was difficult to obtain a history of the child that contains the accurate problem of eczema skin rash (Gambichler, 2009). Health record of the child in relation to the skin structure and disorder was only obtained from the number of visits that was made to the hospital. In most cases, the information obtained from verbal information from the parents. The sweat glads of the baby is also closer, and this implies that their sweat glads functions irregularly thus making it a challenge to monitor the healing process.
During the experience, I realized that record keeping was an important element that contributes to effective health care. For instance, the height of the child as well as the weight of the child was continuously taken to assists in assessing the healing progress of the child. According to Turnbull (2010), taking such records is important since there are chances that some skin disorder can develop when the child is under poor nutritional. Additionally, knowing the family history in terms of skin disorder is important in ruling out some medications. Viera et al. (2016) observe that during the treatment of skin rash in children some drugs were administered throughout the process while other drugs were only taken for a short period. I also realize that eczema skin rash exposed the child to other infection. In fact, the childs skin had less melanin, and this implies that the child was more likely to suffer from the effects of ultraviolet radiation (Hoare, Li Wan, & Williams, 2010). In most cases, it was advisable for the baby to put on clothing that covers her own body to avoid exposure to sunlight rays. According to Barnes and Greive (2013) that unhealthy skin exposes an individual skin to effects by a micro-organism and ultraviolet radiation among others.
In conclusion, the examination, and management of skin condition for a child should be done on a continuous basis. This is important in obtaining information that can be used in treating the skin condition in case it resurfaces in the future. Records of such infection are important since they help in administering specific treatment for the child. The parents of any child suffering from skin infection should also take advice on the kind of diet to give their children.
Barnes, T., & Greive, K. (2013). Use of bleach baths for the treatment of infected atopic eczema. The Australasian Journal of Dermatology, 54(4): 251-258.
Carr, W. (2013). Tropical calcireurin inhibitors for atopic dermatitis: Review and treatment recommendations. Pediatric Drugs, 15(4): 303-310.
Gambichler, T. (2009). Management of atopic dermatitis using photo (chemo) therapy. Archives of Dermatological Research, 301(3): 197-203.
Hoare, C., Li Wan, P., & Williams, H. (2010). Systematic review of treatments for atopic eczema. Health Technology Assessment, 4(37), 169-191.
Nedorost, S. (2012). Generalize dermatitis in clinical practice. Berlin: Springer Press.
Turnbull, R. (2010). Skin assessment in children: A methodical approach. Nursing Times Journal, 96(41): 20-33.
Viera, et al. (2016). Complementary and alternative medicine for atopic dermatitis: An evidence-based review. American Journal of Clinical Dermatology, 17(1): 1-25.
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