Prescribing success: Developing an integrated prescription and eczema action plan for atopic dermatitis

Sauder, Maxwell B.; McEvoy, Alana; Ramien, Michele

doi:10.1016/j.jaad.2016.08.029

Cited by 13 publications

(8 citation statements)

References 19 publications

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Section: Resultsmentioning

confidence: 99%

“…Validated clinical tools have been developed to empower both providers and parents to care successfully for children with chronic diseases, including asthma, eczema and anaphylaxis action plans. Some of these tools have been shown to improve both clinical outcomes and HRQoL 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 . Despite the vast number and potential combinations of pharmacotherapies and lifestyle modifications available to manage FC in children, there is currently no validated, symptom-based clinical action tool to assist in the care of children with constipation.…”

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confidence: 99%

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Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Reeves

Kolasinski

Yin

et al. 2021

The Journal of Pediatrics

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Reeves

Kolasinski

Yin

et al. 2021

The Journal of Pediatrics

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“…The use of written eczema action plans, which provide patients or parents with a checklist of instructions, are also valuable to support self-management. Plans such as these are already an established aspect of asthma care, and although data on their effectiveness in AD is limited, they would seem to provide an important aspect to supporting care in AD and patient engagement [ 78 – 80 ]. Action plans for AD have been developed by a number of professional organizations, including the American Academy of Dermatology [ 81 ].…”

Section: Main Textmentioning

confidence: 99%

The role of the nurse in the care and management of patients with atopic dermatitis

et al. 2020

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Background The purpose of this paper is to provide an overview of key aspects of specialised dermatology nursing practice in the management of patients with moderate to severe atopic dermatitis. The role of dermatology nurse specialists in supporting patients and promoting disease understanding, education and treatment adherence continues to evolve. As features of specialised nursing care can also inform other nursing staff in a wide range of care settings, an overview of key components is examined. Observations presented are from a pan-European perspective and represent the collected view of a group of dermatology nurse specialists, dermatologists and patient advocates following two round-table discussions. Main body Atopic dermatitis is a common, chronic, inflammatory disease characterised by erythematous/scaling skin lesions, with often intense pruritus. Disease course is cyclic with periodic disease flares of varying intensity, presenting management challenges to patients and families. Dermatology nurse specialists play a key role in providing education and substantial patient support to improve treatment outcomes and quality of life to patients and their family, delivered within a multidisciplinary team framework. Nurse-led education and 'eczema schools’ are of benefit in reducing disease severity and improving quality of life by enhancing self-management, adherence and patient engagement. eHealth tools, such as patient portals or online training platforms, can provide online learning, individualised education, and help to improve engagement. These and other initiatives, such as written action plans, are all essential to improve or maintain treatment adherence, self-management and quality of life. Conclusions Dermatology nurse specialists play a central role in the assessment and management of moderate to severe atopic dermatitis patients and families. This places them in an ideal position to build strong and often long-term relationships with patients and parents. Such engagement promotes trust, assists in setting realistic expectations of treatment and outcomes, and enhances self-management and engagement in their own care. Providing emotional support, as well as formal and systematic education (including individualised practical advice) all contribute to improved treatment adherence and can enhance the quality of life of patients and their families throughout the course of this long-term condition.

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“…Despite existing support for utilizing EcAPs, they are not routinely prescribed in practice. Not providing clear directives for eczema management can perpetuate barriers to symptom control and management confidence leading to low patient adherence to prescribed eczema care (Frantz et al, 2019; McEvoy et al, 2018; Rea et al, 2018; Sauder et al, 2018; Stringer et al, 2018). Instead of children having uncomfortable and distracting symptoms of eczema throughout the day, parents, caretakers, and day care and school personnel can follow a prescribed EcAP that details interventions based on the child's individualized needs.…”

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confidence: 99%

Distributing Written Action Plans to Control Eczema Symptoms in Children

Lebedoff

Bain

Walsh

2022

Journal of the Dermatology Nurses' Association

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Written action plans for chronic diseases, such as asthma, guide parents to improve clinical outcomes for their children. Many primary care and specialty care clinicians follow national guidelines and prescribe asthma action plans annually. However, written action plans are not routinely prescribed for eczema, a chronic disease with high morbidity and prevalence that commonly presents before asthma symptoms develop. This quality improvement project initiated the use of eczema action plans with parents whose children were being managed by a pediatric dermatologist. Clinical outcomes and confidence among parents managing their child's eczema symptoms using an eczema action plan were measured. Many parents who followed individual eczema action plans reported improvement in their child's symptoms, supporting further investigation into the expected benefits of distributing eczema action plans for use at home, school, and other environments harboring potential eczema triggers.

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Prescribing success: Developing an integrated prescription and eczema action plan for atopic dermatitis

Cited by 13 publications

References 19 publications

Development and Assessment of a Pictographic Pediatric Constipation Action Plan

Development and Assessment of a Pictographic Pediatric Constipation Action Plan

The role of the nurse in the care and management of patients with atopic dermatitis

Distributing Written Action Plans to Control Eczema Symptoms in Children

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