Eczema is a chronic condition that can be managed but not cured. Symptom management focuses on hydrating the skin, relieving pruritis, reducing inflammation, and preventing and controlling secondary infections. Wet soaks and compresses are applied as comfort measures, and medications are prescribed for itching or infection. To minimize or prevent scratching, fingernails, and toenails are cut short, kept clean, and filed frequently. Woolen clothes or blankets, rough fabrics, and furry stuffed animals should be removed from a child’s environment. Harsh detergents or fabric softeners sometimes precipitate eczema, so clothes should be laundered in mild detergents with no fabric softeners. Patients should avoid fragranced products like soaps and shower gels and may instead use a substitute and bath/shower emollient. Emollients (moisturizers) soften the skin; they help restore the impaired barrier function of the epidermis, diminish dry skin, enhance the efficacy of topical corticosteroids, and have a steroid-sparing action (Peate, 2011). As a nurse, it is important to educate families about the preparation and use of soaks, special baths, and topical medications. If more than one medication is prescribed, teaching should be provided in order of application. Reassure families that emotional stress is normal by encouraging them to discuss negative feelings. Stress can aggravate the severity of the condition, so relieving anxiety in both the parents and child has a beneficial emotional and physical effect.reply to this discussion post and use an in text citation
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