Abstract
As people live beyond 100 years, there is an extended period of impaired quality of life for the increasing numbers of individuals with skin disorders. There is also a growing work force of fit elderly individuals who are able to provide low technology skin care and who can teach self-help if well instructed. The International Society of Dermatology’s sub-committee Skin Care for All: Community Dermatology seeks to bring together those who care for skin diseases and those who manage wounds, burns, lymphoedema and neglected tropical diseases affecting the skin for the purpose of skin care. Their focus is the repair of four functions: barrier, thermoregulation, sensory perception and communication. The curriculum includes low cost self-help and the restoration of absent skin. The care expectation is one of technical proficiency integrated with kindness and altruism. The concept is attracting wide attention but needs to develop compelling and persuasive arguments (“wow factors”) regarding why it should be funded. There is probably no greater wow factor than tracing the path of a severely injured patient from the battlefield through the course of immediate first aid by paramedics to the surgeon in the frontline tent who can almost guarantee survival. Seeing these disfigured persons winning trophies at the Olympic Games has garnered the admiration of millions of viewers.
Highlights
Funding for skin disorders needs instantly and compellingly persuasive arguments in its favour
Skin care for all: community dermatology Dermatology is not the only profession concerned with the skin, but through collaborations and education systems, it influences most of those who care for the skin
There are no funds to support those in Dermatology who wish to make a career in community dermatology
Summary
Funding for skin disorders needs instantly and compellingly persuasive arguments in its favour. Burns, lymphoedema and neglected tropical diseases Over the last century, the Department of Dermatology at Oxford has focused on wound healing, helping to found organisations such as the European Tissue Repair Society, The European Pressure Ulcer Advisory Panel, The British Lymphology Interest Group, and The International Skin Care Nursing Group [4] (affiliated with the International Council of Nursing), concerned with wounds and especially with leg ulcers, diabetic feet and pressure ulcers. In today’s military, medically trained generals trained in dermatological approaches to wound healing are heading the Chinese National Trauma Association and the Chinese National Burns Society in China They are willing to teach public health responses to diabetic feet and pressure ulcers. The World Health Organization hosted the World Alliance for Wound & Lymphedema Care (WAWLC; www.wawlc.org) and it is recognised that the Chinese Military burn surgeons should add a discussion of burn management that can be simultaneously offered as interventions for diabetic, venous or
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