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[How to maximize skin care during radiotherapy?]
I Fromantin1, G Lesport2, M Le Mée2
1Unité plaies et cicatrisation, département d'anesthésie-réanimation-douleur, institut Curie, 26, rue d'Ulm, 75005 Paris, France; Chaire de recherche en sciences infirmières, laboratoire éducations et pratiques de santé (LEPS) EA 3412, UFR santé-médecine-biologie humaine, université Paris 13, 74, rue Marcel-Cachin, 93017, Bobigny cedex, France.
Abstract:
No consensual guidelines exist regarding the management of early effects of radiotherapy. But preventive and curative care strategies could be adapted in the aim to delay erythema, limit complications and improve patients' comfort. Prevention involves encouraging patients to take care of their skin, avoid moisture, frictions, sun exposition and dry soap. When these rules seem insufficient, products (dressings, solution, or cream) could be prescribed, according to the individual risk of each patient. Preventive measures are accentuated when radiodermatitis appears and/or topics indicated for wound healing could be applied. Care (education, dressing, observation) needs a multidisciplinary approach. Improvements of radiotherapy treatments (methods, techniques) have been the most effective evolution on radiodermatitis.
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