This week's artwork was donated by Jaclyn, a pediatric cancer patient who received treatment at The Children's Hospital of Philadelphia . National Cancer Institute Interventions Management of pruritus associated with neoplastic disease is directed toward effective management of the underlying malignancy, elimination of actual or potential alterations in skin integrity, and promotion of comfort. Given the subjective nature of itching, the extent to which any therapy is effective may be modified by psychological factors. Multiple approaches and combined efforts may be needed to promote comfort and prevent alterations in the integrity of the skin. Patient Education and Elimination of Provocative Factors Patients and caregivers must be included in planning care and providing care to the extent possible.
Education is an important aspect of symptom control.
The intensity of the regimen and the techniques employed will vary according to etiologic factors and the degree of distress associated with the pruritus. Knowledge of factors that alleviate symptoms provides rationale for the development and implementation of effective and reasonable self-care interventions. Adequate nutrition is essential to the maintenance of healthy skin. An optimal diet should include a balance of proteins, carbohydrates, fats, vitamins, minerals, and fluids. Daily fluid intake of at least 3,000 cc per day is suggested as a guideline, but may not be possible for some individuals.