Understanding Chemotherapy Effects on Nails
A cancer diagnosis is a devastating, life-altering moment. Learning how cancer treatment can ravage your body is a subsequent shock. Individuals react differently to chemotherapy, and the nail client is no different. Let's explore how and why chemotherapy affects nails, what changes may occur, and how to make modifications in your service to better cater to oncology patients.
Every Nail is Unique
Nail changes due to chemotherapy can vary widely based on the drug, dosage, and personal factors like genetics. Typically, the most noticeable changes will begin to appear within two to three months of starting chemotherapy, as nails need time to grow for the effects to become evident. Common issues include brittleness, grooves, discoloration, and sensitivity.
Timing and Chemotherapy
According to Doug Schoon of Schoon Scientific, “Cancer results from a rapid division of abnormal cells. Chemotherapy aims to disrupt these growth cycles but can inadvertently affect other rapidly growing cells like those in nails.” This often manifests as Beau’s lines, where a distinct line appears on the nail to mark each chemotherapy treatment. It’s vital to maintain shorter nails during treatment to prevent onycholysis, which is a common side effect that may lead to snagging and lifting.
Service Accommodations for Oncology Patients
It is crucial for salons to create a safe environment for clients undergoing chemotherapy. As Jim McConnell from McConnell Labs emphasizes, “Proper curing of gel products is essential, especially for immunocompromised clients. Under-cured products can lead to severe allergic reactions or infections, given the client's delicate health.”
A pedicure can enhance self-care but should avoid soaking, as oncology clients are more prone to infections. Precautions must be taken due to potential neuropathy affecting their ability to judge water temperatures.
Expectations and Home Care
Brittle nails are the most frequent side effect of chemotherapy treatment. Encouraging clients to use an oil daily—like jojoba or coconut oil—can provide conditioning akin to how one cares for their hair. Daily use allows nails to remain pliable, reducing breakage.
Discoloration from chemotherapy can be unsettling for clients. Remind them to document changes by taking photos during appointments and consulting their oncologist when necessary. Simple clear polish can help camouflage any distressing changes until cleared by a doctor.
Managing Common Nail Issues
Onycholysis and Lifting Nails
Onycholysis, the separation of the nail plate from the bed, might occur on both hands and feet. Advise clients to keep nails short and clean and avoid any digging under the nail plate to prevent further complications.
Peeling Nails
Peeling can be alleviated by lightly buffing the free edge to seal the nail and using clear polish for protection. Regular oil application will also support nail health during treatment.
Maintaining Nail Health at Home
Encourage clients to keep their nails dry to prevent infections. Wearing gloves while engaging in water activities, such as dishes or gardening, can be beneficial. Suggest vinyl gloves for those who sweat easily to provide moisture-wicking support.
Resources for Clients and Nail Professionals
For clients who prefer to stay home during treatment, Look Good Feel Better offers free virtual courses on nail care and more at lookgoodfeelbetter.org. Nail professionals can deepen their understanding of oncology patient care through local hospice programs or specialized courses from Oncology Spa Solutions at oncologyspasolutions.com.
Conclusion
Caring for your clients' nails during chemotherapy involves understanding their unique needs and providing a safe, nurturing service. By implementing best practices for nail care during this challenging time, you can help your clients feel more comfortable and valued.
About the Author
Holly L. Schippers, known as the FingerNailFixer®, is an award-winning nail professional dedicated to improving nail care for oncology patients.
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