Increasing Capacity for Skin Surveillance in a Transplant Review Clinic

Ali, Fahad; Samarasinghe, Venura; Russell, Shirley B.; Lear, John T.

doi:10.1097/tp.0000000000000084

Cited by 7 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall theme generated from the literature review was educational interventions can enhance CSE skills for nurse practitioners (NPs) and other PCPs. Five of 10 studies (50%) had positive outcomes after PCPs participated in an educational intervention focused on early detection of skin cancer (Ali et al, 2014; Bradley, 2012; DeKoninck & Christenbery, 2015; Grange et al, 2014; Hartnett & O'Keefe, 2016; Markova et al, 2013). A key theme was that proper training of PCPs about early skin cancer detection skills reduced the number of referrals to dermatologists and prevented unnecessary skin biopsies (Ali et al, 2014; DeKoninck & Christenbery, 2015; Hartnett & O'Keefe, 2016).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Five of 10 studies (50%) had positive outcomes after PCPs participated in an educational intervention focused on early detection of skin cancer (Ali et al, 2014; Bradley, 2012; DeKoninck & Christenbery, 2015; Grange et al, 2014; Hartnett & O'Keefe, 2016; Markova et al, 2013). A key theme was that proper training of PCPs about early skin cancer detection skills reduced the number of referrals to dermatologists and prevented unnecessary skin biopsies (Ali et al, 2014; DeKoninck & Christenbery, 2015; Hartnett & O'Keefe, 2016). Lack of confidence and motivation for performing CSE were other key themes identified from the literature.…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Skin Examination for Melanoma in Underserved Patients

Diesner

Stratton

Flamm

et al. 2021

Journal of the Dermatology Nurses' Association

View full text Add to dashboard Cite

Purpose The aim of this study was to educate primary care providers (PCPs), including family nurse practitioners (FNPs), about clinical skin examination (CSE) for melanoma in underserved patients using a digitally delivered video intervention. CSE was defined as melanoma risk assessment, head-to-toe skin examination, and skin lesion assessment. Background Skin cancer is the most common cancer in the United States; melanoma is the deadliest type. PCPs do not typically perform CSE. Little is known about how PCPs learn about or conduct CSE for their underserved patients. Methods The information–motivation–behavioral skills (IMB) model guided this quality improvement project. All 14 PCPs employed in one federally qualified health center's six regional clinics were recruited. Participants completed an online pretest of the IMB model, the intervention (four brief videos covering melanoma in underserved populations and CSE), and an identical posttest 2 weeks postintervention. Results Data were analyzed using descriptive statistics. Six (42.9%) participants enrolled: All were FNPs (mean age = 39.83 years, mean years of PCP experience = 3.33). Scores for the IMB model all improved on posttest. Participants reported increased CSEs in practice (mean = 1.33–9.50). Conclusion The results show strong potential for a brief video intervention to improve FNPs' CSE skills and motivate them to use those skills with underserved patients.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Clinical Skin Examination for Melanoma in Underserved Patients

Diesner

Stratton

Flamm

et al. 2021

Journal of the Dermatology Nurses' Association

View full text Add to dashboard Cite

show abstract

“…It has been shown that patients who followed up by experts who are experienced in this field, have higher quality of life and early diagnosis. 5 After transplant, it is recommended that the patients with no history of skin cancer and normal skin examination need to have dermatological examinations every 12 months; patients with one BCC or a history, five or fewer actinic keratoses, and one dysplastic nevus need to be examined every six months; patients with more than 10 actinic keratoses, multiple dysplastic nevi, recurrent and multiple BCC, SCC and melanoma or a history, should be examined in every three months. 6 The effects of solid organ transplant on the skin may be examined under four main headings: inflammatory, infectious, direct toxic effects of used immunosuppressive drugs and neoplastic changes (Table 1).…”

Section: After Transplantationmentioning

confidence: 99%

Skin and mucosa in patients with solid organ transplant: risks and precautions

Özgen

Ozer

2020

Mucosa

View full text Add to dashboard Cite

In solid organ transplant patients; many skin diseases are more common and more resistant to treatment, because of the multiple medications and immunosuppressive therapies. In order to increase survival, it is important to evaluate and follow these patients with a multidisciplinary team including the dermatologist. In this review, the following are reviewed along with the current literature; skin and mucosa findings due to immunosuppressive therapies used in solid organ transplant patients, inflammatory, infectious and neoplastic skin diseases which are increased compared to the normal population, and the important points in diagnosis and treatment of these diseases.

show abstract