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You are here: Home » Adults and Older Children

Adults and Older Children

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Chapter Four of Atopic Skin Disease - A Manual For Practitioners brings together, for Adults and Older Children, the conventional treatment of emollient and topical steroid therapy with habit reversal: The Combined Approach. The key messages are activate involvement, encourage realistic optimism, promote biological understanding and increase behavioural awareness. The protocol used at Chelsea & Westminster Hospital is set out in Appendix 1. Initial assessment  includes a review of attitudes to illness and treatment, and the relevance of stress. Emphasis is placed on subjective measures - self rating is used throughout the programme, which typically is split into four clinic visits. Assessment at first visit is followed by the important registration week, where the patient's use of the hand tally counter enables the measurement of scratching frequency. At the second visit a behavioural analysis is completed, and the Three Levels of Treatment are introduced. The chapter details the content of the discussion required, supported by the content of Live Without Eczema - The Patient Handbook. The third visit allows for trouble-shooting and programme reinforcement. The three additional dimensions of stress management, attitudes of the patient and attitudes of others are relevant for many patients. Vital for all are the points to consider at follow-up. The chapter closes considering why some patients are unsuccessful.

                       Chapter 4 - Adults and Older Children

☆ See also

Treatment protocols

Live Without Eczema - The Patient Handbooks


  Going to University with atopic eczema
  Treatment programme stages for atopic eczema in Adults and Older Children
  Ten tips for success using The Combined Approach to atopic eczema
  From the clinic #1: Focused habit reversal
  From living with eczema to living without eczema
  Psychodermatology services, atopic eczema and habit reversal
  The Combined Approach to atopic eczema in the elderly
  Habit reversal for the elderly
  Topical steroids and the elderly
  Atopic Eczema and Attitude in the Elderly
  Atopic Eczema and Attitude to the Elderly
  Dermatitis in the elderly
  Age and distribution of lichenification in chronic atopic eczema
  Atopic eczema, conventional treatment and habit reversal
  Inpatient treatment of atopic eczema
  Success with Habit Reversal: "It's the clicker that counts".
  PEST & POEM: the eczema patients' point of view
  Improving outcome with atopic eczema
  Severe chronic atopic eczema
  Tacrolimus and cancer