A reaction caused by the effect of radiotherapy on the skin. This can take the form of:

• erythema (see photo above left)
• dry desquamation
• moist desquamation (see photo above right)

The aim is complete healing of the skin

Daily assessment of the skin for:

• redness
• broken areas
• presence of secondary infection
• pain
• heat
  
  Treatment of secondary infection
  Adequate pain relief
  Loose clothing/cotton/seamless underwear
  No scented products
  Use plain water on affected areas and pat skin dry
  Avoid rubbing skin
  Avoid creams unless prescribed (23)
  In dry desquamation, asses need for aqueous cream and get this prescribed.
  In moist desquamation, refer to appropriate consultant
  Cover with appropriate non adherent dressing using no tape on affected area.
  Renew dressing daily.
  Assess need for a break from treatment.
  Pressure relief as appropriate depending on treatment site.
  Psychological support for patient throughout treatment

Advice on pain control/dressings and skin care