By Dr Dan Ewald
I am lucky enough to be part of the editorial/ writing group for the Handbook of Non-Drug Interventions (HANDI). The fun is that I get to review the evidence behind a host of non-drug interventions relevant to general practice.
One topic that made the cut, soon to be published in HANDI, is as simple as regular moisturiser use to reduce incidence of skin tears in the frail elderly by about 50%.
What to do: Twice daily application of a pH neutral, perfume-free moisturising lotion to arms and legs. Avoid lotion ingredients that cause irritation such as urea, sodium lauryl sulphate, fragrance.
The lotion used in the Australian trial is Abena® Skincare Lotion Unscented, which is commercially available for around $13 for 500 ml. However, other similar lotions may be used. The lotion should be pH neutral, contain a non-irritating humectant (eg. glycerine), contain an occlusive agent (eg. paraffin or plant oil).
Similar available lotions include Cetaphil® Moisturising Lotion, Cetaphil® Daily Advance Lotion, Alpha Keri® Skin Moisture Boost Lotion and QV® Skin Lotion.
This is cost-effective, simple therapy that could be considered for any patients at risk of skin tears.
Carville K, Leslie G, Osserian-Moisson R, Newall N, Lewin G. The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tears. Int Wound J 2014;11(4):446–53.
LeBlanc K, Kozell K, Martins L, et al. Is twice daily skin moisturizing more effective than routine care in the prevention of skin tears in the elderly population? J Wound Ostomy Continence Nurs 2016;43(1):17–22.
Hunter S, Anderson J, Hanson D, et al. Clinical trial of a prevention and treatment protocol for skin breakdown in two nursing homes. J Wound Ostomy Continence Nurs 2003;30(5):250-258
Falls Risk Assessment and Management
Frequently Asked Questions About Self-Collection Of HPV Samples
Update provided 21 April 2022.
As you know, Lismore Skin Clinic in Molesworth Street was destroyed in the recent floods, and we are trying to rebuild the site as soon as we can.
In the meantime we will be moving to St Vincent’s Hospital Specialist Medical Centre – Level 4, Suite 12 – 20 Dalley Street Lismore.
We hope to be up and running in the next two weeks (by early to mid May 2022) and our receptionists will soon begin calling our patients to rebook their appointments and catch up with their needs.
Once we have a firm opening date we will update this notification.
We look forward to seeing you soon in our new premises.
Many thanks for your patience and understanding in these heartbreaking times – stay safe.
Dr Gudmundsen and the Team from Lismore Skin Clinic
Any AHPRA or AASW registered mental health practitioner providing services in the Mid North Coast and/or Northern NSW.
Social workers, psychotherapists and counsellors are ineligible to list in the directory.
By listing, you will let GPs, other referrers and consumers know that you are practising in Mid North Coast and/or Northern NSW. You can provide information such as where you are located, the services you provide, the population groups you support and your clinical interests.
No, the directory is a free service provided by Healthy North Coast.
This directory enables you to provide real-time information about your availability to accept referrals, as well as how long people may have to wait for an appointment. You can update this information as your availability changes. This will help GPs and other referrers ensure they only refer clients to practitioners who have the capacity to see them.
It also has a range of advanced search options and supports printing and bookmarking of search results.
You can choose to display your email address and your phone number so that people can contact you directly. You may prefer not to display these, in which case people can contact you by completing an enquiry form located in the Directory. Your choices can be updated anytime.
You can indicate wait times for an appointment for a new client or that you are currently unable to accept new referrals. You can also choose whether to display or hide your contact details. You can update your choices at any time.
Yes, you can update your listing or remove it at any time by clicking the “update practitioner details” button on your listing. You will receive a secure website link to your nominated admin email that will enable you to make changes, delete or put your listing on hold. You can also show when you are taking extended leave or are not available for a specific period, rather than completely removing your listing.
We will also send you an email every three months (90 days) prompting you to check that your information is up to date.
You will be responsible for managing the information in your listing and ensuring that it is up to date. You will also be asked to check the information before it is published in the directory.
We will also send you an email every three months (90 days) prompting you to check that your information is up to date so that the directory displays accurate information.