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Fig 5.12 Twelve Rules for Parents

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O 1. Be aware of difficult situations 2. Prepare and plan ahead 3. Encourage: reward adaptive responses 4. Never say 'stop scratching' — ail intervention must be positive 5. Active talk, play, distraction and diversion 6. Follow all provocative activities and situations with a diversionary activity involving positive action

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1. Avoid use of topical treatment less than 20 minutes before going to bed 2. Apply topical treatments quickly 3. Baths must be supervised 4. Pat the skin dry with a towel after washing 5. Undress and dress quickly 6. Sit with the child when watching television

reinforcement. Positive outcome is directly proportional to the effort applied at all three levels. By the end of the second week phase one will be overtaken by phase two continuing treatment at Levels 1 and 2, to consolidate the progress achieved.

Phase two: Levels 1 and 2 The younger the child, the easier it is to modify behaviour. The healing process clearly benefits from an early cessation of scratching and rubbing, but a further finite period of time is needed to allow healing to be completed. A consultation during this phase ensures that topical treatment is continued appropriately, and in particular that the temptation to stop using topical steroids when the 'Look Good Point' (p. 67) is reached is not given in to. This phase comes to an end when topical steroids are stopped. At this point the skin has appeared superficially

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Profile for Christopher Bridgett

Atopic Skin Disease - A Manual For Practitioners  

An account of a new behavioural approach to the treatment of atopic eczema, written for practitioners, but also for patients

Atopic Skin Disease - A Manual For Practitioners  

An account of a new behavioural approach to the treatment of atopic eczema, written for practitioners, but also for patients