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- Should you give tylenol before the shots? / vaccine reaction discussion
- HAND FOOT MOUTH (and butt) VIRUS
- Skin fold irritations
- The Poop series: Chapter #1 Baby poop
- Strep Throat
- Nurse Judy' Blog
- Tips for giving medication
- What to expect from the 2016/17 flu vaccine
- Colds/coughs/congestion 2017 (symptomatic treatment/when do you need to be seen?)
Sunday, June 4, 2017
In honor of Summer's imminent arrival, I am going to dust off, tweak, and rerun my sunscreen post.
I still maintain that a little sun exposure here or there is not the end of the world; it feels great and gives a dose of vitamin D. That being said, no one should get too much unprotected exposure. Sunburns are not only painful, they can lead to skin cancer. The scientists are telling us that too much time in the sun, even if we don't burn, should be avoided. The most recent studies are even more alarming, demonstrating that the increase in melanoma cases being seen have an absolute connection to sun exposure.
Sun can do the most damage to our skin between the hours of. Reflection from water and/or snow can make any exposure more intense.
The link below will lead you to a great little site that can tell you what the UV risk is on a particular day depending on where you are.
Your best bet for preventing sunburn is of course is to stay in the shade when possible and also wear a big floppy hat and loose protective clothing. Have a parasol or a shade umbrella over strollers and baby carriers. Pay attention to babies in backpacks; they might be getting more exposure than you are aware of. Umbrellas are not foolproof. You can also get sun exposure through glass. Pay attention to the car seat.
Eyes can get damaged from the sun. Do your best to get your child used to wearing sun glasses. The lighter the eye color, the more sensitive they are likely to be, but everyone should wear eye protection.
Don’t forget about lips! There are lots of chapsticks with SPF protection.
The fact is, even if you are very careful, if you are out enjoying life, it is very difficult to eliminate all sun exposure. If your child is under 6 months old and the choice is sunburn versus sun screen, choose the sunscreen every time! If you are using a sunscreen for the first time, do a test patch on one small area on a thigh or wrist a few hours before sun exposure. If you slather your child with a new sunscreen, spend a day out in the sun and then they break out in a rash, we would have to figure out if it is heat? sun? sunscreen? Doing a test patch first assures you that it is not the sunscreen that is causing the rash. For older kids, the use of a sunscreen should be routine. Nurse Jen had a great idea that works with her little girls. They apply a daily sunscreen to their face with makeup brushes. What used to be an ordeal has turned into something fun. Great habits now will avoid wrinkles and potentially serious skin problems later on.
Apply the sunscreen at least 15 minutes before going out. 30 minutes is better. Ideally put it on before the clothes go on to make sure you don’t miss a spot. For significant sun exposure, sunscreen needs to be reapplied at least every 2 hours, even if they claim to be waterproof.
Don’t forget the feet!
Quite a few studies state that It is not worth getting any SPF that is over 50. These studies suggest that they don't offer a significant increase in protection, just more chemical exposure and a false sense of security. Get a lotion that protects against the UVA and UVB rays. The cost does not necessarily correlate with the better choices.
There are several reasons that the sprays are not your best option. It is easy to miss spots with the sprays and inhalation can cause problems. The biggest concern for me though is that they can be flammable. There are some nice mineral powders out there, but with those, it is also really important that you child doesn’t breath in the particles. Lotions and sticks don’t have those issues. Below is a list of some of the better sunscreen choices.
The Environmental Working Group has listed their best kid sunscreens:
While the FDA maintains that there is no data showing that there are safety concerns, the EWG suggested avoiding any products that have retinyl palmitate or oxybenzone.
With good options available, why take a chance.
We need to be a little more protective of our fairest kids. If your child is out with a nanny or friend, don't hesitate to remind them to be on the "sun protection patrol". Trust me, sunburns are just as painful for the grown up who lets it happen on their watch.
Posted by Nurse Judy at 9:55 PM