Mind over eczema

Eczema is a common condition that affects up to one in five children and one in 12 adults. Although it is often not considered a serious medical problem, it has a marked impact on quality of life and can result in psychological difficulties for sufferers and their family (Stangier and Ehlers, 2000). It can also have a significant impact on self-esteem and relationships, owing to the social consequences of the appearance of skin affected by eczema. It is important for all health professionals caring for adults or children with eczema to consider the psychological aspects of living with the condition in order to provide the most effective treatment and advice. Only a small minority of patients with eczema will have psychological disorders that require referral on to specialist mental health services, but many will experience high levels of stress and symptoms of anxiety and/or depression. Nurses can help sufferers cope more effectively with their skin care by recognizing and addressing these important aspects of eczema and by identifying any further support they may need. Patients can be supported by routinely asking about the impact of their eczema on their day-to-day life and providing an opportunity to problem solve about difficulties or obstacles in managing the treatment and the consequences of living with eczema. For many patients, it is a relief to be able to talk about their experiences with someone who is able to understand the frustration of managing a chronic and fluctuating condition like eczema. It is also important to acknowledge the high levels of stress some parents of affected children experience. Many young children with eczema are irritable and uncomfortable because of their skin condition and have bouts of scratching, which can be very distressing for any parent to watch. This ‘irritability’ can directly affect the child’s behaviour, making them more prone to be disruptive and frequently resulting in sleep difficulties. The National Eczema Society has published a new patient booklet ‘Mind over eczema’ which provides advice and information on coping with eczema. It is available free during National Eczema Week (16–23 September) by calling the Society’s patient helpline 0870 241 3604 or emailing helpline@eczema.org For further information about the Society’s resources for health professionals visit www.eczema.org