ABSTRACT
The increasingly popular trend of body piercing has led to an increase in allergic reactions to nickel. The most common symtom of a nickel allery is symptom of a nickel allery is contact dermatitis. This may manifest in various degrees ranging from minor itching and redness of the skin to the site of contact. Dermatology nurses play a pivotal role in pre and postoperative assessments, thorough skin important, patient education related to sources of nickel and complications resulting from long-term exposures.
Subject(s)
Dermatitis, Contact/etiology , Dermatitis, Contact/prevention & control , Nickel/adverse effects , Adult , Body Piercing/adverse effects , Dermatitis, Contact/diagnosis , Dermatitis, Contact/epidemiology , Female , Food Hypersensitivity/etiology , Food Hypersensitivity/prevention & control , Humans , Medical History Taking , Nurse's Role , Nursing Assessment , Patient Education as Topic , Perioperative Care/methods , Perioperative Care/nursing , Prevalence , Radius Fractures/complications , Radius Fractures/surgery , Risk FactorsABSTRACT
Patients, like those with ESRD, who have lost the ability to filter excess proteins from their bodies are at risk to develop beta-2-microglobin amyloidosis, also known as dialysis-related amyloidosis (DRA). When the kidneys do not work efficiently, a protein called beta-2-microglobulin can build up in the blood. Eventually, these molecules can form large deposits and potentially damage surrounding tissues. Currently, dialyzer membranes do not effectively remove these large molecules and, as the blood levels become elevated, deposits begin forming in bone, joints, and tendons resulting in pain and/or stiffness. Unfortunately, there is no known cure for DRA, although attempts are being made to develop dialyzer membranes that can more efficiently remove beta-2-microglobulin from the blood. Implications for practice include early diagnosis, patient teaching, optimal pain management and fall risk management.
