“Rosacea is a chronic skin disorder characterized by a rosy appearance. Skin manifestations are similar to acne but should not be treated the same. The cause is unknown but it is believed that the disorder is genetically inherited.
In patient teaching it is important for them to understand the early sign which is frequent intermittent blushing across the nose, forehead, cheeks and chin. To avoid irritation teach client to avoid factors that trigger rosacea.
• Avoid
o Hot beverages
o Spicy foods
o Alcohol
o Exposure to sun, wind, or cold
o Bathing with hot water
o stress
• Teach client to
o Cover skin if exposure to extreme environmental conditions is inevitable
o Use sunscreen with an SPF of 15 or greater
o Pace physical activity to avoid overheating
o Follow skin cleaning regimen (wash the face with lukewarm water and gentle cleanser without using a washcloth and blot skin dry)

Presented by Karla, Dixie, Diana, Christina

There are many types of nail disorders which are caused by a variety of microorganisms such as bacteria and fungus. The most common nail bacteria and fungal infection occur in the toe nail. People at higher risk for nail disorders are:
-Older adults
-Diabetic patients
-HIV patients
-Excessive exposure to water and heat
-Excessive Manicuring
-Artificial nails (infection has increased among women

Diagnosis usually is made by the appearance of the nail. Cultures need to be obtained and tested for confirmation of nail disorder.

Some of the common nail disorders:
1. Tinea Unguis (ring worm) is when the nail thickens which leads to nail plate loss.
2. Onychatrophia is when the nail loses cluster which becomes smaller as a result of wasting away of the nail plate.
3. Onychomycosis is a fungal infection with characteristics of a plant like parasite that is produced by warm dark environments.

Findings may include: thickening of the nail, Elevated and distorted, yellowed and friable. Due to infection, patients nail can be difficult to trim which leads to long and jagged nails.

Treatment is usually an ongoing systemic drug therapy, which consist of antifungal agents and antibacterial medications such as
itraconazole (Sporanox)
terbinafine (Lamisil)

For severe conditions surgical treatments may also be required to remove the nail.

Prevention
Teach the patient that it is important do the following:
-Perform thorough hand hygiene for 15-20 seconds
-Maintain clean healthy toe nails
-Keep nails cut short
-Avoid walking barefoot
-Alternate pairs of shoes regularly

Resources

http://www.umm.edu/altmed/articles/nail-disorders-000116.htm
2009 University of Maryland Medical Center (UMMC).
22 S. Greene Street, Baltimore, MD 21201.

Presented by Cindy, Maria, and Jabeen -W2010

Some effective treatments of head lice:
Wet combing —it is important to comb through wet hair to carefully remove all lice. Repeat until lice and nits are gone.
Oral Medications- prescription drugs for people who have lice that is resistant to insecticide treatment.
Other treatments – Olive oil, butter, petroleum jelly are applied to the applied to the head, let it dry to suffocate the lice.
OIL BASED PRODUCTS WORK THE BEST because it helps slow the bugs down and can possibly smothers them. (Neem, Tea Tree Oil, and Karanja Oil)
Coconut oil because it can penetrate the exoskeleton of the lice. (Found in Headlicehotline.org).

Non-prescription medications are available in pharmacies to treat pediculosis. Consult a health care provider before treating a child less than a year. Family members also need to be check for lice because failure to treat infected members will cause reinfestation. (Update.com/Patients).

Presented by Sovanaroth, Michelle, Mary and Rosanna