|Alopecia||Destruction of hair follicles by chemotherapy or radiation to scalp.|
Hair loss usually is temporary with chemotherapy, but usually permanent in response to radiation.
|Suggest ways to cope with hair loss (e.g., hair pieces, scarves, wigs).|
Cut long hair before therapy.
Avoid excessive shampooing, brushing, and combing of hair.
Avoid use of electric hair dryers, curlers, and curling rods.
Discuss impact of hair loss on self-image.
|Radiation skin changes (dry to moist desquamation)||Radiation damages skin|
|Chemotherapy-Induced Skin Changes||Hyperpigmentation.|
|Alert patient to potential skin changes.|
Encourage patient to avoid sun exposure.
Implement symptomatic management as needed depending on specific skin effect (e.g., application of lotions, benzoyl peroxide for acne, corticosteroid creams