\ I \ \ ' I l.. I l l !. MANAGEMENT PROTOCOL FOR PROBLEM ON SKIN LESIONS: ADULT PATIENT (FLOW CHART NO. 9) PLAN A: 1. Determine knowledge of the patient or his companion on the management of the problem presented. 2. Based on 1. 0, do the fo Uowing if the skin lesion is a sore or ulcer especially if it is large. 5. 2. 1 Clean the sore with hydrogen pero:-. ide. povidone iodine, or plain soap and water then cover "ith a sterile gauze. Mild ~1a,·a decoction can also be used to clean the wound. 2. 2 Do not use any strong anti'septic solution like tinctures or alcohol. 2. 3 Ad,ise the patient to ba,·e the wound cleaned everyday or every other day. Based on 1. 0, advise the patient to do the following ifhe has acne or pimple. 3. 1 Wash the face at least twice a day with mild soap and water. 3. 2 Use astringent before going to bed or to use Perla soap (the white one) when washing the face at night. 3. 3 Do not scratch, touch or squeeze the pimple especially ifit is near the eyes or around the area of the nose or mouth. 34 Eat a balanced meal and avoid fatty or oily foods, or those rich in iodine. 3. 5 Drink plenty ofliquid like water or juice. 3. 6 Have enough sleep. 3. 7 Let the sunshine fall on the affected area. Based on 1. 0, do the foll O\\ing if the patient bas very itchy skin lesions and allergy, eczema or contact dermatitis js suspected. 4. 1 Give/prescribe over-the-counter antihistamine preparation specif)i. ng accuratelr the dose and frequency o( intake. 4. 2 Advise the patient not to operate any ma·chine, drive a '(ehicle or cross tl1e street alone while under treatment since tl1e medicines can make the patient very sleepy. 4. 3 Advise the patient or his companion to apply on the affected area any over-tl1e-counter lotion or cream or herbal medicine for itchiness. specifying accurately the method of preparation (specifically for herbal medicines) and the frequency of application. 4. 4 If the affected area is warm. advise the patient or his companio n to apply cotton or gauze soaked in cool salt solution for one hour three times a day. 4. 5 Advise the patient's companion to keep the patient's fingernai ls sl10rt or to put gloves/ mittens over the patient's hands to protect him from scratching himself. 4. 6 Advise the patient or his companion to avoid substances which could have caused the allergy, like chocolate, eggs, chicken, sea foods, cosmetics esp. perfumed ones. Based on 1. 0, advise the patient to do the following ifhe has a boil. 5. 1 Do not squee1. e or cul the boil i. fit is not yet "ripe". u,. ____ 3. 96-------------------------------