Dear Friends,


As we are in the middle of what seems to be the hottest summer on record, it is a good month to address sun safety which becomes more important in the summer when people spend so much time outdoors. It is important to know that age doesn't matter when it comes to protecting your skin from dangerous UV rays. Whatever age you are when you start a sun protection routine, you are giving your skin a chance to repair itself and decrease the cumulative damage to your skin. 


Our guest writer this month is a rising junior at Northwestern University. Her column addresses the use of sunscreens to promote sun safety and protect the skin from dangerous UV rays


Have a wonderful summer and stay cool and safe.



Best Wishes,

Tara A. Cortes, PhD, RN, FAAN


Staying Safe in the Sun

Kiley Rabjohns

  Junior, Northwestern University


The summer months come with beautiful weather and the temptation to sit outside in the sun all day long. While it’s great to enjoy being outside this season, it is also very important to understand how damaging the sun can be to one’s skin without the protection of SPF. Using SPF protection is easy to do and does not prevent you from enjoying the many benefits of the sun such as boosting Vitamin D and serotonin. 


Melanoma is the deadliest type of skin cancer and is among the most common cancer types in the US, affecting 1,413,976 people in 2020. It is estimated that 40–50% of people over the age of 65 who are white will develop a form of skin cancer. People with darker skin are still susceptible to skin cancer, but have lower chances of developing it. These chances can be reduced with the proper use and application of sunscreen products. Unfortunately, many people fail to recognize the importance of using sunscreen or are simply unaware of its benefits. 


The use of sunscreen is critical in protecting the skin from harmful UV rays that can cause skin cancer, premature aging, and other skin-related problems. No matter what type of skin you have, everyone exposed to the sun without sunscreen is more at risk for skin damage and skin-related diseases, as well as premature aging of the skin. As older adults age, their skin becomes thinner and more vulnerable to sun damage. It is important to regularly check and be aware of any new spots, marks, or moles on the skin as we age because damage that was done to the skin in one’s twenties to forties is likely to show up at least 20 years later. Too much unprotected exposure to the sun can also cause scaly patches called solar keratoses and new or changing moles, freckles or blemishes, and these require frequent observation and screening. These are all signs of possible sun damage that may become cancerous. It is recommended to visit a dermatologist once a year or 3-6 months if you have a history of melanoma in your family.


If there is a skin cancer diagnosis, the most likely type in older adults is BCC (Basal Cell Carcinoma) from the cumulative time spent in the sun over the years. Options for treatment, such as surgery or a topical solution, depend on the size and degree of the tumor or the severity of the cancer. If BCC is caught early and treated promptly there is a greater chance for it to be cured. This is why it is important to frequently check in with the dermatologist to catch anything as soon as it develops. 


When using sunscreen, it is crucial to remember to reapply frequently when outdoors. The simple act of applying the lotion can save you from dealing with skin cancer in the coming years. Regularly applying SPF of at least 15 can reduce your risk of developing melanoma by 50%. This is crucial because once one has melanoma, it is frequently spread to other areas on the body.



There are many options to pick from such as sprays, lotions, and even sticks that can be kept in a small bag or purse for easy access to reapply throughout the day. This summer, prioritize finding a moment a day to apply SPF to the areas of your skin that will be exposed to the sun in order to help your future self and your skin. There is no simpler way to prevent skin cancer and promote healthy skin as one ages than applying sunscreen before going into the sunlight.


Richard, E. G. (2022, July 1). All About Sunscreen, Why You Need It. How It Works For You. Skin Cancer Foundation. Retrieved April 25, 2023, from https://www.skincancer.org/skin-cancer-prevention/sun-protection/sunscreen/ 


Dang, J., et Al. (2020, September 15). Sunscreen application technique amongst patients with a history of skin cancer. Archives of Dermatological Research. Retrieved April 25, 2023.


Integrating the 4Ms into the Care of Older Adults Course


This course provides an overview of best practices for incorporating the 4Ms into the care of older adults including:


Methods to determine What Matters?

Maintaining Mobility

Assessing for changes in Mentation, and

Recognizing the risks and limitations of Medications used by older adults


Click here to learn more.

Meyers Center for Continuing Nursing Professional Development


The Meyers Center for Continuing Nursing Professional Development has been granted full accreditation as a provider of nursing continuing education by the American Nurses' Credentialing Center (ANCC). The accreditation is valid through Aug 31, 2027. 

HIGN Highlights



Prof. Ab Brody served as moderator for the national webinar Nurses at the Forefront: Essential Clinicians in Hospital at Home Programs run by the Hospital at Home Users Group.


Prof. Selena Gillis will be inducted as a fellow in the American Academy of Nursing.


Prof. Fidel Lim co-authored the article entitled Acute Kidney Injury: A Nursing Challenge in the ANA's American Nurse Journal in the June 2023 issue.



Publications:


McCabe, D. E. (2023). Promoting older adult mental health through integrated care. Geriatric Nursing. https://doi.org/10.1016/j.gerinurse.2023.06.009


Qi, X., & Wu, B. (2023). ChatGPT: A Promising Tool to Combat Social Isolation and Loneliness in Older Adults with Mild Cognitive Impairment. NeurologyLive, 6(3), 23-25.


Zhu, Z., Qi, X., Zheng, Y., Pei, Y., & Wu, B. (2023). Age differences in the effects of multi-component periodontal treatments on oral and metabolic health among people with diabetes mellitus: a meta-epidemiological study. Journal of Dentistry, 104594.


Presentations:


Hillary J. Dutton, MPH, MS, RN; Chenjuan Ma, PhD, presented (poster) their research, Competitive Pressure for Home Health Agency Accreditation: A Longitudinal Analysis, at Academy Health Annual Research Meeting, June 24-27, Seattle, WA.


Chenjuan Ma, PhD; Jason Fletcher, PhD, & Bei Wu, PhD presented (poster) their research of Racial/Ethnic Disparities in Timely Initiation of Home Health Care Among Persons Living with Dementia Before and During COVID-19 Pandemic, at Academy Health Annual Research Meeting, June 24-27, Seattle, WA.


Prof. Mary Jo Vetter presented a poster at the International Council of Nurses Congress in Montreal, Canada, "International Perspectives on Paid Family Caregiving" with co-presenter Iren Bishofberger, a professor at the University of Vienna.

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