Below the Surface:  Applying Evidence-Based Practice in Skin Care Management with the Hematopoietic Cell Transplant Patient (229)

2:30 – 3:30 pm Friday, September 4

Children and adolescents undergoing hematopoietic cell transplant (HCT) are at high risk for developing skin complications. Nurses play a vital role in the assessment, prevention, and management of skin issues in this population where multiple factors lead to skin complications.

Side effects and toxicities of conditioning regimens, medications, infections, central venous catheters, acute and chronic graft-versus-host-disease, the patient’s underlying disease, and immunosuppression all contribute to skin complications. Additional risk factors include prolonged hospitalization, decreased mobility, moisture from urine/stool/diaphoresis, impaired nutrition, and MARSI (Medical Adhesive-Related Skin Injuries). The underlying principles of skin care serve as the foundation for “best practices.” These include meticulous assessment, promotion, and maintenance of skin integrity and the establishment of and adherence to standardized, evidence-based guidelines, which require ongoing evaluation and applicable practice changes. Evolving HCT preparative regimens, widening HLA disparities, and a plethora of new skin-care products require nurses to creatively apply evidence-based approaches for fundamental skin care, injury prevention, and toxicity management in a rapidly changing environment.


Nancy Noonan, MS RN PCNS-BC BMTCN®

Linda Abramovitz, MSN RN CNS FAAN BMTCN®


CNE Hours: