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Skincare Products
302 Treatment Plans
Chemotherapy Reactions

• Treating Chemotherapy and Radiation Patients
• Introduction
• Body & Scalp
• Face (Method 1: Rashes)
• Face (Method 2: Papulopustular)


Treating Chemotherapy and Radiation Patients
Helpful Information and Suggestions for the Oncology Skin Care Professional


Cancer patients need specialized treatment.

Privacy
A must - don’t let them wait in waiting area for extended period of time.  If coming for appointment in your studio schedule them so they can immediately be taken back to your treatment room.

Facial Treatments
Not recommended during chemotherapy and radiation.  Hydrating facial after patient has been off treatments 4 weeks, if treated aggressively - 6 weeks.  If the patient has had open wounds from Radiation Treatments 6 to 8 weeks.  If patient has required wound care - permission from doctor should be obtained before any treatment.

No acids!  If  patient does not want pampering just do basic cleansing.  Use 302 Rx Products only.  No extractions, massage or stimulation.

Patients experience many side effects
• Skin tone becomes very pale and jaundice looking
• Feeling very cold
• Flu-like symptoms – clammy skin
• Body sweats
• Hot Flashes
• Severe Body Pain/Joints
• Neuropathy
• Scalp Pain
• Rash can radiate to scalp and should be treated as regular face and body rash.
  Do not attempt to extract papulopustular activity.  
• Body Odor - a side effect of many drugs

In patients being treated with Erbitux and Tarceva drugs the pustules will be white and cause severe itching at onset of outbreak, these pustules sometimes drain and then fall off.

IT IS IMPORTANT TO WEAR GLOVES WHEN WORKING WITH PATIENTS BEING TREATED THAT HAVE ANY TYPE OF RASH OR SORES.

Patients do not always want to be touched due to pain.

Irritability
Moments of being calm and relaxed and suddenly, angry - can lash out without warning.  Drugs cause many of these side effects.  Important to be prepared to end your session with the client because they cannot cope, they suddenly become exhausted without warning and have to leave.

Memory Loss
Drugs cause patient’s to forget easily.  Provide written regimes and instructions.  If they have a friend accompanying them ask permission from your client to review instructions with that person.

Odor
Patients often exhibit an odor from chemo drugs and may be very self-conscious.  Put them at ease.  Do not burn candles or aromatherapy in treatment room until you know what the patient is able to tolerate.  Some patients cannot tolerate anything at all with even a mild fragrance.  Important to use products with the least amount of fragrances.

As a professional who is treating the patient do not wear fragrances.

Have a flexible policy regarding cancellations for the patient.
They may feel great when scheduling and wake up sick the day of the scheduled appointment.


Introduction

Dermatologic reactions are the most common side effects that result from treatment with Epidermal Growth Factor Receptor Inhibitor (EGFRI’s) drugs, which constitute the mainstay of chemotherapeutic approaches to cancer.  Cutaneous toxicity is observed in 45% to 100% of the patients treated.

It is important to refer to our Knowledge Base for a complete discussion. These clients need very different attention than you would normally provide.

The most common reactions are: rash around the upper body and face, dry itchy skin, inflammation around the nails and abnormalities in hair growth.

The reactions can be significant and discomfort can be extreme.

302 has a topical product approach that ramps up the response to the cutaneous side effects as needed.

In our experience, itching is the most common discomfort. This can be instantly soothed by Recovery Mist Rx - which can be used anytime on any point on the skin.

 
Body & Scalp Care


Rashes on the body are addressed by a choice of three products: the first line of defense is the Face & Body Bar – a cleansing bar that will quickly bring visible relief to rashes and often is a complete treatment in itself. It can also be used on the face.  It is not necessary to scrub or lather copiously, in fact, a mild, gentle cleansing is all that is necessary.

For more severe cases, apply Ointment Rx a zinc oxide based ointment that has proven results in the clinical literature.

For hydration you may optionally provide Recovery Lotion Rx, after cleansing. It is a rich moisturizing body lotion that soothes and heals.  Applied after washing with the Bar usually is sufficient to resolve even difficult cases.

For severe, intractable rashes on the body or scalp, introduce Active Recovery: Body & Scalp Rx to be applied once every other day.  This product is applied directly to the wetted skin (use Recovery Mist Rx) and spread evenly and allowed to penetrate for several hours before washing off with the Face & Body Bar or in the case of the scalp, with Recovery Cleanser Rx.

More frequent application is possible but the nature of the rash is such that intermittent application will usually provide the best regime choice.

Body rashes from EGFRI’s tend to move around and what is solved one day will pop up in another place the next.  This can be minimized by washing all over with the Face & Body Bar.


Face Care

Rashes on the face are addressed first by Recovery Cleanser Rx. Apply to dry skin and massage into scalp and face like a lotion. Add water and continue to massage. Rinse very well. Some patients have found further relief by applying a dab of lather from the Face & Body Bar before rinsing.

Use Recovery Mist Rx as needed for itching, anytime.  

If the rash is severe and does not subside, apply Active Recovery: Face Rx.  Apply to wetted skin (use Recovery Mist Rx) and massage in well – a little goes a long way.

 
Chemotherapy Regime: Body & Scalp    


Designed especially for patients taking EGFRI drugs

HOME CARE REGIME

Mornings / During the Day

Cleanse once daily with the Face & Body Bar or once every other day with Recovery Cleanser Rx on the scalp, if it is also affected. Rinse well.

Use Recovery Mist Rx as needed. Patients in extreme discomfort may use the mist as often as necessary (some will apply the mist every ten minutes).

Apply Ointment Rx for raw rashes may be used at any time and patients may crave a protective ointment feel like this.  Ointment Rx is occlusive and is meant to stay up on the surface so contact with clothing may tend to abrade it away. It will not stain clothing, however.

Optional: Recovery Lotion Rx as needed for overall hydration and soothing, if desired.

Evenings:

For those clients in great discomfort, provide Active Recovery: Body & Scalp Rx. Mist affected rash areas, including scalp if affected and apply Active Recovery: Body & Scalp Rx to wetted areas, massage in well.

Allow at least one hour penetration and then wash with the Face & Body Bar for the body and the Recovery Cleanser Rx for the scalp - massage in Cleanser on the scalp, add some water, add more Cleanser and then rinse very well. Apply Recovery Mist Rx to these areas.


Chemotherapy Regime: Face


Method 1 (Rashes)    


Designed especially for patients taking EGFRI drugs.

HOME CARE REGIME

Mornings:

Apply Recovery Cleanser Rx as if a lotion, onto dry skin. Add water and move suspension around and rinse very well.  Pat dry.

Apply Recovery Mist Rx liberally and allow to dry.

Apply Ointment Rx during the day to affected areas.  

For oral care:
Rinse mouth with Active Recovery: Face Rx or use during tooth brushing for comfort from lesions.

During the Day:

Apply Recovery Mist Rx as often as needed. Reapply Ointment Rx as often as needed. Stay out of sunlight.

Evenings:

Apply Recovery Cleanser Rx as if a lotion, onto dry skin. Add water and move suspension around and rinse very well.  Pat dry.

Apply Recovery Mist Rx liberally and leave wet.

Immediately apply a few drops of Active Recovery: Face Rx to wetted face and spread evenly and then focus a drop or two on affected areas.

Use more Recovery Mist Rx to ensure penetration.

Optional: a light coating of Ointment Rx may be applied afterward.

For oral care:
Rinse mouth with Active Recovery Face Rx or use during tooth brushing for comfort from lesions.
 

Chemotherapy Regime: Face


Method 2 (Papulopustular)  
 


Designed especially for patients taking EGFRI drugs.

HOME CARE REGIME

Mornings:

Use Face & Body Bar, lather lightly, gently, rinse well, pat dry.

Apply Recovery Mist Rx.

During the Day:

Apply Recovery Mist Rx as needed. Stay out of sunlight

Optional: Ointment Rx may be applied if papulopustular areas and rashes tend to overlap. Provide a light coating.

Evenings:

Wet skin with Recovery Mist.

Apply several drops of Active Recovery: Face Rx and smooth in well, especially focus on affected areas.

Add Recovery Cleanser Rx directly over this and smooth in as if a lotion. Add water and more Cleanser and lather from the Face & Body Bar and gently massage suspension around. Rinse very well.

Apply Recovery Mist.

Optional: a very light coating of Ointment Rx may be applied to rash areas.