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    Ringworm

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    Laura Berg Nasser
    Ringworm is a fungal infection of the scalp that is spread through direct contact with infected hairs, combs, towels or other surfaces. It most commonly affects children ages 4-7 and can be diagnosed by microscopic examination or fungal culture. Treatment involves oral antifungal medication like Griseofulvin for 6-8 weeks along with selenium sulfide shampoo to eliminate spores and prevent spread.

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    Ringworm

    Uploaded by

    Laura Berg Nasser
    185 views20 pages
    Ringworm is a fungal infection of the scalp that is spread through direct contact with infected hairs, combs, towels or other surfaces. It most commonly affects children ages 4-7 and can be diagnosed by microscopic examination or fungal culture. Treatment involves oral antifungal medication like Griseofulvin for 6-8 weeks along with selenium sulfide shampoo to eliminate spores and prevent spread.

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    Ringworm is a fungal infection of the scalp that is spread through direct contact with infected hairs, combs, towels or other surfaces. It most commonly affects children ages 4-7 and can be diagnosed by microscopic examination or fungal culture. Treatment involves oral antifungal medication like Griseofulvin for 6-8 weeks along with selenium sulfide shampoo to eliminate spores and prevent spread.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    185 views20 pages

    Ringworm

    Uploaded by

    Laura Berg Nasser
    Ringworm is a fungal infection of the scalp that is spread through direct contact with infected hairs, combs, towels or other surfaces. It most commonly affects children ages 4-7 and can be diagnosed by microscopic examination or fungal culture. Treatment involves oral antifungal medication like Griseofulvin for 6-8 weeks along with selenium sulfide shampoo to eliminate spores and prevent spread.

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    RINGWORM

    Laura Nasser

    RINGWORM

    Its not actually a worm Fungal infection involving the hair shaft of the scalp
    Geophyllic- fungi that inhabit soil Zoophylic- live on animals Anthropophilic- live on humans

    EPIDEMIOLOGY

    In the past most infections were from animals

    Now most infections are spread through people Predominately seen in ages 4-7 Most affected race is African-American

    HOW

    IS IT SPREAD

    Can be spread through


    Infected hairs Hats Combs Brushes Pillow cases Towels

    THE

    GREAT MASQUERADERS

    Presents in a way that may be confused with other skin disorders


    Subtle with dandruff like scaling Slight pruritus Pustule masses- confused for abscesses Confused with dermatitis, psoriasis

    DIAGNOSIS

    Microscopic exam/ fungal culture to confirm

    Culture sample can be obtained with cotton swab or toothbrush

    Woods lamp

    DEVELOPMENTAL

    CONSIDERATIONS

    Eriksons Stage of Development- Industry vs. Inferiority- patient is 9 years old

    Starting to view self as individual

    They form moral values, recognize cultural and individual differences and are able to manage most of their personal needs and grooming with minimal assistance.
    Erikson viewed the elementary school years as critical for the development of self-confidence.

    TEACHING

    How it is spread Medication

    Griseofulvin
    Take for 6-8 weeks- must take full amount Should be taken with food or milk to enhance absorption Most common side-effects are headaches and GI complaints May effect oral contraceptives

    TEACHING

    Shampoo- Selenium sulfide


    Eliminates the shedding of viable spores Used with oral treatment Will prevent the spread of fungus, but will not get rid of it. May use it on other children in the home 2-3 times a weeks for 6 weeks. Rarely occurs in adults, so they do not need to use the shampoo. Wash towels in warm soapy water after each use Soak combs and brushes is half bleach/half water.

    TEACHING
    May need to keep child out of school until anti-fungal shampoo has been started. There is usually no permanent hair loss.

    NURSING DIAGNOSIS 1

    Impaired comfort related to itching secondary to tinea capitis AEB patient stating his scalp itches. Goal: The patient will state strategies to reduce itching (cold packs, topical cream, shampoo, distraction) by time of discharge.

    Interventions

    Assess current level of comfort. Inform the patient of options for control of discomfortcreams, shampoo, cold packs. Teach patient distraction techniques- games, music, television. Keep a cool environment as sweating may increase the discomfort on the scalp. Teach to follow up with physician if discomfort persists or worsens.

    NURSING

    DIAGNOSIS

    Impaired skin integrity r/t presence of macules associated with fungus. Goals- The patient will describe measures to protect and heal the skin AEB patient stating that he will use the recommended shampoo (Selsun Blue) and any topical creams that may be prescribed by time of discharge.

    Interventions

    Assess site of skin impairment. Implement a written treatment plan for topical treatment of the skin impairment. Educate the patient and caregivers on the signs and symptoms on infection. Teach the patient proper hygiene and to clean linens at home to prevent re-infection. Teach the patient about prescribed medications and therapies.

    NURSING

    DIAGNOSIS

    Risk for infection: transmission to others: Risk factor: contagious fungus. Goals- The patient will state ways to prevent spreading infection: implement hair washing with medicated shampoo(Selsun Blue); wash linens; do not share combs/brushes; by time of discharge.

    Interventions:

    Assess the patients knowledge of tinea capitis and how it is spread. Assess if there are any other symptomatic people in the household. Instruct patient to contact barber and inform them of his infection. Teach patient to clean all combs/brushes in half bleach/water for one hour. Teach patient to wash all linens in warm soapy water after each use.

    NURSING DIAGNOSIS 4

    Risk for disturbed body image related to possible hair loss. Goals: The patient will state strategies that can enhance appearance of possible hair loss AEB patient verbalizing that he can grow his hair longer or maintain a short haircut; he will also verbalize his understanding that hair loss is only a possibility; by time of discharge.

    Interventions:

    Assess for any current disturbed body images or low selfesteem. Assist patient in voicing his concerns about his possible hair loss. Encourage the patient to voice any concerns about peer opinion. Encourage families to support the patient as needed. Teach the patient how shampoo hair with Selsun Blue for ten minutes and to not scratch his scalp.

    DISCUSSION QUESTIONS
    I have a cat at home that may have ringworms, do I need to get ride of it?
    I have Lamisil at home, cant I just use that?

    REFERENCES

    Ball, J. Bindler, R., Cowen, K., (2012) Principles of Pediatric Nursing: Caring for children (5e.). Boston:Pearson. Meadows-Oliver, M. (2009, September-October). Tinea capitis: diagnostic criteria and treatment options. Dermatology Nursing, 21(5), 281+.

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