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CLEANSERS and MOISTURIZERS

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Presentation on theme: "CLEANSERS and MOISTURIZERS"— Presentation transcript:

1 CLEANSERS and MOISTURIZERS
Prepared by : SIG, Dermatology Nursing IADVL

2 pH of the skin = 5.5 ( acidic); pH of water is 7 ( neutral)
SOAPS and SOAP SUBSTITUTES pH of the skin = ( acidic); pH of water is 7 ( neutral) All soaps are alkaline Because of their alkalinity, soaps tend to remove the natural oil film of the skin while removing dirt and grime Application of soaps can be both useful and harmful depending on the type of skin ( oily vs dry)

3 SOAPS Most commonly used agent for cleansing the skin May have added agents, mostly antibacterials, for special action on the skin For antibacterial action, contact time important pH of soap is alkaline while skin is acidic Drying effect of soaps on skin can be useful for oily conditions (acne) but harmful for dry conditions (ichthyosis)

4 SOAP SUBSTITUTES Because of same pH, do not dry the skin
Act like soaps but pH matched to skin (usually 5.5 to 7) Because of same pH, do not dry the skin May have added active ingredients like triclosan Usually have special additives like lecithin that layer the skin with a protective barrier

5 MOISTURIZERS Medical term for it is ‘Emollient’
First line treatment for maintaining effective barrier function Available as different formulations such as ointments, creams, gels, lotions Some work as both a skin moisturizer and a soap substitute Also have some indirect anti inflammatory effect Help to reduce the requirement of topical steroids (steroid sparing agents)

6 Action of emollients

7 What do emollients do ? EMOLLIENTS lock water Lubricate
Reduce scaling Seal stratum corneum

8 CREAM Both water and fat OINTMENT No water; mostly fat
EMOLLIENTS CREAM Both water and fat OINTMENT No water; mostly fat Best for very dry skin EMOLLIENT LOTION Liquid formulation Best for hairy areas

9 As liberally as possible (30 - 40gm for whole body per application)
WHEN TO APPLY AN EMOLLIENT As frequently as possible (atleast 2-3 times a day) As liberally as possible ( gm for whole body per application) After bathing ( within 2-3 minutes) while the skin is still moist

10 Dry skin – loss of barrier

11 Cracked lips – needs emollient

12 Scaly palms - Psoriasis

13 Generalized scaling - whole body moisturisation

14 Thick scaling – soak and seal

15 Cracked, dry skin in old age

16 HOW TO APPLY AN EMOLLIENT
Soon after a bath Generously but gently Do not rub vigorously Apply in the direction of hair

17 CHOOSING AN EMOLLIENT Advise correct amounts and frequency
Must be right for the skin condition Advise correct amounts and frequency Must be cosmetically acceptable Appropriate to weather/ environment Must be free of preservatives No fragrances

18 Apply enough : at least 30 – 40 gm per application for whole body

19 Careful while holding babies
SAFETY WITH EMOLLIENT USE Surfaces can get slippery in the bath specially for children and elderly Careful while holding babies Use a spoon to take out emollient from the tub to prevent contamination

20 THANK YOU THANK YOU


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