Acne

  1. General information
    1. Skin condition associated with increased production of sebum from sebaceous glands at puberty.
    2. Lesions include pustules, papules, and comedones.
    3. Majority of adolescents experience some degree of acne, mild to severe.
    4. Lesions occur most frequently on face, neck, shoulders and back.
    5. Caused by a variety of interrelated factors including increased activity of sebaceous glands, emotional stress, certain medications, menstrual cycle.
    6. Secondary infection can complicate healing of lesions.
    7. There is no evidence to support the value of eliminating any foods from the diet; if cause and effect can be established, however, a particular food should be eliminated.
  2. Assessment findings
    1. Appearance of lesions is variable and fluctuating
    2. Systemic symptoms absent
    3. Psychologic problems such as social withdrawal, low self-esteem, feelings of being "ugly"
  3. Nursing interventions
    1. Discuss OTC products and their effects.
    2. Instruct child in proper hygiene (handwashing, care of face, not to pick or squeeze any lesions).
    3. Demonstrate proper administration of topical ointments and antibiotics if indicated

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