Dermatology

Dermatology

RCH > Medicine > Dermatology

Eczema treatment plan

Please complete the form below to generate an individualised eczema treatment plan for your patient.

NOTE: All fields marked * are complusory.

Patient details
UR Number *
Surname *
Given name/s *
Date of birth *	/ /
Active eczema (red +/or itchy area)
1. Medicated creams/oinments		Morning	Noon	Afternoon	Night
Face
Other (body, limbs, scalp)	If other, please specify
2. Wet dressings
Apply wet dressing to the arms and legs
Comments
Apply cool compresses to the face
Wear wet t-shirt singlet bandanna neck scarf
3. Medications
Take the following medications as prescribed

Everyday care
1. Bathing		Morning	Noon	Afternoon	Night
Use the following at bath time
2. Moisturiser
Face	If Other, please specify
Limbs	If Other, please specify
Body	If Other, please specify

Additional information
Contact information
This plan was written by		Date