Author(s) McQuestion M

Journal Seminars in oncology nursing. Date of publication 2011 May 1;volume 27(2):e1-17.

Abstract 1. Semin Oncol Nurs. 2011 May;27(2):e1-17. doi: 10.1016/j.soncn.2011.02.009. Evidence-based skin care management in radiation therapy: clinical update. McQuestion M(1). Author information: (1)Radiation Medicine Program, Princess Margaret Hospital, Toronto, Ontario, Canada. maurene.mcquestion@rmp.uhn.on.ca 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. Copyright © 2011 Elsevier Inc. All rights reserved. DOI: 10.1016/j.soncn.2011.02.009 PMID: 21514477 [Indexed for MEDLINE]

Source ID (e.g. PMID): 21514477