Randomized Intra-Patient Controlled Trial of Mepilexlite Dressings vs. Aqueous Cream in Managing Radiation-Induced Skin Reactions Post-Mastectomy

Bennett, N.C.; Sutherland, A.E.; Paterson, Dean B.; Poonam, P.; Peszynski, R.I.; Beekhuizen, M.; Jasperse, Marieke; Herst, Patries M.

doi:10.1016/j.jmir.2012.12.009

Cited by 2 publications

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“…This shift is encouraging because patients can feel socially isolated, and this can be exacerbated by fears of body odour [4]. The evidence base to support the use of deodorant or antiperspirant refutes the lingering belief among some clinicians that metallic compounds or a bolus effect from a layer of product may increase skin dose [29][30][31][32]. No evidence exists for restricting the use of these products or specifying particular products as being superior (including ''natural'' or mild products that contain no aluminium).…”

Section: General Skin Carementioning

confidence: 99%

A Canadian Survey of the Management of Radiation-Induced Skin Reactions

Bolderston

Cashell

McQuestion

et al. 2018

Journal of Medical Imaging and Radiation Sciences

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Introduction: Radiation therapy skin reactions are one of the most common side effects and can cause patient distress. In some cases, a severe radiation-induced skin reaction may limit delivered dose and potentially compromise treatment outcomes. There are some established best practices, but approaches and patient advice appear to have changed little over the years and are often based on tradition, not evidence. Canadian radiation therapy departments use different skin care products and approaches, and there has been little previous work to examine national practice patterns. Materials and Methods: This study used a 42-item electronic survey based on a questionnaire designed by the UK Society and College of Radiographers. Practice data were collected related to assessment and prophylactics, interventions for prevention and management, and use of tools and guidelines. The final survey version was distributed to an identified radiation therapist-registered nurse dyad at each radiation therapy department in Canada (n ¼ 44). Results: Thirty-three departments responded (75% response rate). Results suggest a variation in national management. A number of departments continue to advise patients not to wash or use deodorant/ antiperspirant despite having evidence to the contrary. There are also unnecessary restrictions on the use and timing of application of lotions as well as conflicting postradiotherapy skin care instructions regarding sun exposure. Conclusion: The study demonstrated variation in practice across Canadian radiation therapy departments. National interprofessional guidelines could improve uptake of best practices. Where there is little evidence, a stress-reduction approach with more collaborative decision-making should be used to minimize patient disruption.

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Section: General Skin Carementioning

confidence: 99%

A Canadian Survey of the Management of Radiation-Induced Skin Reactions

Bolderston

Cashell

McQuestion

et al. 2018

Journal of Medical Imaging and Radiation Sciences

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“…Studies have found that Mepilex lite had no effect on skin temperature, causes a very small bolus effect of 0.5 mm, promotes comfort, and reduces subjective symptoms of acute radiodermatitis (Bennett et al, 2013;Diggelmann et al, 2010;Paterson, 2012;Perez, Medina, Perez, & Garcia, 2011). However, in these studies, all dressings were removed prior to treatment for the sake of clinical trial consistency, as some patients had their dressings positioned on top of reference marks.…”

Section: Literature Reviewmentioning

confidence: 99%

Wound Dressings During Radiotherapy for Cancer: A Survey of Practice

Thomas

Reimer‐Kirkham

Kohr

2015

CJON

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The integrated results of the study were reviewed with five clinical experts to make recommendations for research, practice, leadership, and policy. Implications for clinical practice included the involvement of radiation oncology nurses in the treatment planning team, development of clinical practice tools, and the relevance of the Person-Centered Nursing framework for wound management during radiotherapy.

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Randomized Intra-Patient Controlled Trial of Mepilexlite Dressings vs. Aqueous Cream in Managing Radiation-Induced Skin Reactions Post-Mastectomy

Cited by 2 publications

References 0 publications

A Canadian Survey of the Management of Radiation-Induced Skin Reactions

A Canadian Survey of the Management of Radiation-Induced Skin Reactions

Wound Dressings During Radiotherapy for Cancer: A Survey of Practice

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