NMT150 Putting It Together, Week 3 PDF

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 3 Author: Dr. Adam NMT150 Gratton MSc ND LECTURE COMPETENCIES Describe fundamental bathing recommendations for people with atopic dermatitis Describe qualities that make for a good emollient Describe environmental triggers to avoid in atop...

NATUROPATHIC THERAPEUTICS – PUTTING IT TOGETHER WEEK 3 Author: Dr. Adam NMT150 Gratton MSc ND LECTURE COMPETENCIES Describe fundamental bathing recommendations for people with atopic dermatitis Describe qualities that make for a good emollient Describe environmental triggers to avoid in atopic dermatitis Present treatment options based on the information presented throughout the module NONPHARMACOLOGIC OPTIONS FOR SKIN DISORDERS BATHING EDUCATION Minimal contact with warm (not hot) water for as little time as possible Mechanical cleansing is generally superior to antiseptic cleansers Adding oils (of any sort) to bath water is ineffective Skin patted dry rather than rubbed aggressively COLLOIDAL OATMEAL Several studies suggest a benefit of colloidal oatmeal suspensions Can be found in soap, shampoo, emollients, or used in bath water Avenanthramides have anti-inflammatory properties and may relieve itching in addition to being potent antioxidants May offer a prebiotic effect and improve the dermal microbiome COLLOIDAL OATMEAL For more information please see https://pubmed.ncbi.nlm.nih.gov/33026768/ https://pubmed.ncbi.nlm.nih.gov/33026769/ EMOLLIENTS Aka moisturizers Regular use of emollients should be encouraged at all times except during active flare-ups Should be used immediately after bathing to retain the hydration gained (within 3 minutes of drying off) CHOOSING AN EMOLLIENT Ceramide-based emollients tend to work best Can be as effective as a low-medium potency topical corticosteroid Avoid those that are scented Avoid unnecessary botanical ingredients Glycerol-based are better tolerated than urea/sodium chloride-based Avoid using olive oil CHOOSING AN EMOLLIENT Avoid common allergenic preservatives Parabens Phenoxyethanol Imidazolidinyl urea Methylchloroisothiazolinone Quaternium-15 Formaldehyde DMDM hydantoin CHOOSING AN EMOLLIENT Ultimately, applying adequate amounts of an emollient is more important than which one is chosen Go with what the patient will regularly use REDUCING COMMON ENVIRONMENTAL IRRITANTS Aside from fragrances and harsh cleaners Wool Dry grass and leaves Anything else that the patient consistently reacts to BREAKOUT DISCUSS AND DESIGN A TREATMENT PLAN IN GROUPS OF 10 REGROUP TO PRESENT FINDINGS IN 30 MINUTES