Index

abbreviations list 5 ABPI (ankle brachial pressure index) 123, 124, 130, 132, 133 abuse of children 113–14 acute inflammatory lower leg conditions 126–9 Agenda for Change (AfC) banding 38–9, 57 AJCC (American Joint

Committee on

Cancer) 43 allergic contact dermatitis (ACD) 26, 28 American Joint Committee on Cancer (AJCC) 43 anaphylaxis 30 ankle brachial pressure index (ABPI) 123, 124, 130, 132, 133 assessment see patient assessment atopic eczema, paediatric 33, 110–12

BAD (British Association of Dermatologists) 80, 93 band levels career progression 11–14 independent prescribing 95 lower leg management 122–3, 124 paediatric dermatological nursing 107–8 patient assessment 21, 22, 25 band levels (contd) phototherapy 74–6, 82–3 skin cancer CNSs 38–9 systemic therapies monitoring 88, 89, 93 BDNG see British Dermatological Nursing

Group (BDNG) benign skin cancer lesions 43 biological drugs 83, 93 British Association of

Dermatologists (BAD) 80, 93 British Dermatological

Nursing Group (BDNG) 10 competence levels 15, 16 courses/training 13, 33, 116

Dermatological Nursing journal 16 joining 16 patch testing best practice 30 phototherapy courses 82 role descriptors 12–14, 15, 57, 88, 108 skin cancer CNS descriptors 38–9 British Lymphology

Society red leg pathway 128 bruising causes/ confusion 114

cancer screening 95 career progression 11–14 clinical skills 13 courses/training 32–4 career progression (contd) educational skills 14 leadership skills 13 lower leg management 130, 132, 133, 134 phototherapy 82–3 research skills 14 skin surgery 66, 69 systemic therapies monitoring 100–1 cellulitis 127–8, 129 chemotherapy for skin cancer 44, 46 children see paediatric dermatological nursing chronic inflammatory lower leg conditions 126–9 ciclosporin 89, 93 clinical nurse specialists (CNSs) 38–43, 47, 48–50 Clinical Resources

Efficiency Support

Team (CREST) 127 clinical skills career progression 13 investigations 25 lower leg management 124, 133 patch testing 28–9 patient assessment 22 phototherapy 75 skin surgery 66 systemic therapy 89 topical treatments 31 Clothier Report 107 CNSs (clinical nurse specialists) 38–43, 47, 48–50

communication skills 11, 17, 33, 40, 47–8 comorbidities 22, 94, 106 competence levels/ frameworks definition 15, 16 holistic assessment 20 lower leg management 124–5 phototherapy 77

Royal Pharmaceutical

Society 95 skin surgery 60, 61–4 systemic therapies monitoring 90–2 see also core knowledge domains congenital dermal melanocytosis 114 core knowledge domains assessment 23 investigations 26 lower leg management 133 patch testing 28 phototherapy 77 skin cancer CNSs 41–8 skin surgery 56–7, 58 systemic therapies monitoring 93–100 topical treatments 30 COVID-19 pandemic 10, 93, 95 CREST (Clinical

Resources Efficiency

Support Team) 127 cryotherapy 44, 58 curettage 45, 63

dark-skin erythema 98 Dermatological Nursing journal 16 dermatology nurse skills 10–17 current state in 2022 10–11 key points 17 dermatology nurse skills (contd) patient care setting 11 requirements 11 specialisation within 11–14 Dermatology Quality of

Life Index (DLQI) 21, 80, 94, 99 dermoscopy 21, 42, 43, 94, 99 direct observation of procedural skills (DOPS) 42, 60 disease severity tools 21, 95–8, 143–44 DLQI (Dermatology

Quality of Life Index) 21, 80, 94, 99 Doppler assessment (aka

ABPI) 123, 124, 130, 132, 133

EASI (Eczema Area and

Severity) 79, 96, 98 eczema dark skin erythema 98

EASI 79, 96 paediatric 110–12

POEM 100 venous eczema 127, 129 educational skills 14, 47 electrocautery 45, 63 electrochemotherapy 46 erythema cellulitis/venous eczema distinction 129 dark-skinned individuals 98

EASI 96

MED testing 78, 79

PASI 96 patch testing 27 phototherapy 77–8 training 98 Fraser guidelines 112, 113 future developments 69–70, 83

Get It Right First Time (GIRFT) national report 10, 56 Gillick competency 112, 113

holistic needs assessment (HNA) 20 independent paediatric prescribing 109 lower leg management 130, 132 skin cancer patients 43, 47

immunotherapy 38, 44, 46 independent prescribing 95, 109–12 infections investigation 23–4, 25 inflammatory lower leg conditions 126–9 International Contact

Dermatitis Research group criteria 27 investigations indications for 24 infections 23–4, 25 patch testing 26–30 patient assessment 23–30, 143–44 prick testing 24, 30 skin cancer 42–3 isotretinoin 93, 112

Kennedy Report (2010) 107 knowledge domains see core knowledge domains

leadership skills 12, 13, 38, 58, 82 leg ulcers 126, 127, 131 lifetime UV limits 76 literacy skills, patients 95 Lord Laming Report 114 lower leg management acute/chronic inflammatory conditions 126–9 assessment 130 career progression 130, 132, 133, 134 cellulitis 127–8, 129 common conditions 125–9 competencies 124–5 complex conditions 130, 131 core knowledge domains 133 key points 135 leg ulcers 126, 127, 131 lymphoedema 123, 126, 127, 128, 132 nursing role 122–4 patient care setting 124 patient education 125 personal reflection 134 red legs dermatoses 126, 127, 128, 129 scope of practice 122–3 training courses 132, 134 venous eczema 127, 129 lymphoedema 123, 126, 127, 128, 132

Macmillan sponsorship 38, 49, 139 malignancies see skin cancer Marjolin’s ulcer 131 MED (minimal erythema dose) device 78, 79 medication independent prescribing 95, 109–12 isotretinoin 93, 112 topical steroids 33, 110–11, 126, 133 see also systemic therapies monitoring melanocytosis, congenital dermal 114 melanoma 38, 43, 44–6 mental health 10, 22, 84, 94 minimal erythema dose (MED) testing 78, 79 minor skin surgery procedures 57 Mongolian blue spots 114 monitoring erythema in phototherapy 77–8 phototherapy patient outcomes 79–80 skin surgery 68–9 see also systemic therapies monitoring multidisciplinary teams (MDTs) complex lower leg conditions 130, 131 paediatric dermatological nursing 115 skin cancer care 39, 43, 44, 47, 50 systemic therapies monitoring 90–1

National Institute for

Health and Care

Excellence (NICE) 38, 91, 95, 96, 126 National Literacy Trust 95 never events in skin surgery 65 non-surgical skin cancer therapies 46 nursing roles allergic contact dermatitis 28 descriptors (BDNGbased) 12–14, 15, 57, 88, 108 lower leg management 122–4 paediatric dermatological nursing 106–8 patch testing 29 patient assessment 20–4, 25, 28–9, 30 phototherapy 74–7 skin cancer CNSs 38–41 skin surgery 56, 57 systemic therapies monitoring 88–90 topical treatment use 30–2

objective structured clinical examinations (OSCE) 15, 66 online learning

BPNG 13, 32, 33, 49, 66, 69, 82

DLQI 99

PASI/EASI 96 research 14

paediatric dermatological nursing 106–17 atopic eczema 110–12 child development 106–7 communicating with children 112–13 courses/training 106–7, 115–16 independent prescribing 109–12 key points 117 nursing role 106–8 patient care setting 108–9

paediatric dermatological nursing (contd) safeguarding children 113–14 scope of practice 107–8 teamwork 115 training 107 PASI (Psoriasis Area and

Severity Index) 79, 80, 96–8 patch testing 26–30 patient assessment core knowledge domains 23, 26, 28, 30 holistic 20 investigations 23–30 lower leg management 130 nursing roles 20–4, 25, 28–9, 30 patch testing 26–30 prick testing 24, 30 process 20–1 proforma 143–44 skin cancer 42–3 systemic therapies monitoring 93 tool 143–44 validated tools 21 patient care setting 11 lower leg management 124 paediatric dermatological nursing 108–9 phototherapy 76–7 skin cancer 39 skin surgery 56 systemic therapies monitoring 88–90 patient education 94–5, 125 patient feedback 139 patient histories 42 patient safety 60, 65, 66 patient well-being 47, 78–9 Patient-Orientated

Eczema Measure (POEM) 100 performance reviews 68, 71, 84 personal reflection 16, 50, 70, 134 phototherapy 74–84 applications 74 career progression 82–3 competencies 77 core knowledge domains 77 dose calculation 76 equipment/facilities 81–2 future developments 83 key points 84 nursing role 74–7 patient outcomes 79–80 patient well-being 78–9 service reviews 80–2 skin cancer 45 training courses 80–1 physical abuse of children 113–14 POEM (Patient-Orientated

Eczema Measure) 100 practical skills/competencies 20–34 clinical band levels 22 holistic assessment 20 investigations 23–30 key points 34 systemic therapies monitoring 92 topical treatment use 30–2 training courses 32–4 validated assessment tools 21 see also nursing roles pregnancy 95, 112 prick testing 24, 30 proforma for patient assessment 143–44 protocols

BDNG patch testing best practice 30 protocols (contd) definition 15 standard operating procedures 23 systemic therapies monitoring 90–1

Trust protocols for skin surgery 58–60 Psoriasis Area and

Severity Index (PASI) 79, 96–8 pyoderma gangrenosum 131

quality of life

DLQI assessment tool 21, 80, 94, 99 opportunity to discuss 79 patient education 94–5, 125 patient well-being 47, 78–9

POEM assessment 100

radiotherapy 45 red legs dermatoses 126, 127, 128, 129 research skills 14 resources for learning 33, 49, 141 roles see nursing roles root cause analysis 65 Royal Pharmaceutical

Society 95

safeguarding children 113–14 sample collection 23–4 scope of practice

BDNG descriptors 12 definition 15 lower leg management 122–3

scope of practice (contd) paediatric dermatological nursing 107–8 phototherapy 74, 76 skin cancer CNSs 38–9 skin surgery 57–8, 59 systemic therapies monitoring 88, 89 self-harm, children 113 sexual activity, children 112, 113 skin cancer 38–51 career development 49–50 challenges/ opportunities 48–9

CNS core competencies 41–8 communication skills 47–8 incidence 38 key points 51 lesion assessment 42–3 nursing role 38–41 patient assessment 42–3 patient well-being 47 personal reflection 50 therapeutic interventions 44–6 skin surgery 56–71 advanced procedures 57

BDNG role descriptors 57 career progression 69 competence levels/ frameworks 60, 61–4 core knowledge domains 58 facilities standards 66–7 future developments 69–70 key points 71 skin surgery (contd) minor/advanced procedures 57 monitoring 68–9 never events 65 nurses’ needs 69 patient safety 60, 65, 66 performance reviews 68 personal reflection 70 root cause analysis 65 service needs 68 standards 66–7 training courses 66

Trust protocols 58–60 specialisation 11–14 see also career progression standard operating procedures (SOPs) 23 standards 66–7, 80 steroids, topical 33, 110–11, 126, 133 surgery see skin surgery systemic therapies monitoring 88–101 career progression 100–1 competence levels/ frameworks 90–2 core knowledge domains 93–100

Dermatology

Quality of Life Index 99, 100 disease severity tools 95–8 key points 101 multidisciplinary teams (MDTs) 90–1 nursing role 88–90 patient assessment/ screening 93 patient education 94–5

POEM 100 practical skills/ competencies 92 protocols 90–1 scope of practice 88, 89 theoretical competencies 92 talking to other colleagues 15–16, 101, 134 targeted therapies for skin cancer 45 teamwork see multidisciplinary teams (MDTs) terminology/definitions 5, 15, 65, 113 theoretical competencies 92 tools for validated assessment 21, 95–8, 143–44 topical treatments nursing roles 30–2 paediatric steroids 33, 110–11, 126, 133 skin cancer 44 training courses 32, 33, 34 disease severity tools 98 lower leg management 132, 134 paediatric dermatological nursing 107, 115–16 phototherapy 80–1 skin surgery 66 see also career progression Trust protocols for skin surgery 58–60 tumour-node-metastasis (TNM) classification 43 type 1 (immediate) reactions 30 type 4 (delayed) reactions 26

ultraviolet light 74, 76

vaccination 94–5 validated assessment tools 21, 95–8, 143–44 vasculitic leg ulcers 131 venous eczema 127, 129

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