Initial Grading Reminder
CTCAE For Skin, Oily:
No specific grading is available
Grade 1: Mild
Grade 2: Moderate, affecting the individual’s QOL
Grade 3: Severe, having a more severe impact on QOL
Assessment and Grading
Characterize the symptom (onset, pace)
Ask the patient:
Has your skin been oily in the past? When did the symptom start/get worse? Has it developed gradually or suddenly?
Grade the symptom
Ask the patient:
How oily is your skin? Is your hair also oily? Is it leading to problems (acne, etc)?
Patient Query Regarding Other Symptoms/Red Flags
Ask the patient:
Do you have diarrhea, hair loss, or does your heart feel like it is skipping a beat or racing? Have you lost weight?
Patient Factors to Consider That Affect the Approach to Intervention
Consider the following in individualizing the intervention: Is the patient a good or poor historian? Any language barriers or cognitive deficits? Is the patient reliable (able to carry out treatment recommendations)? Does this patient have alcohol/substance abuse issues? Does the patient have transportation? Is there sufficient caregiver support?
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Click Here for Telephone Triage
Suggested Intervention
Patients with new onset moderate or worse (or worsening) oily skin should be seen.
Patients with any of the red-flag symptoms also should be seen immediately.
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Click Here for In-Office Triage
Nursing Assessment of Potential Causes
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What do you suspect is the cause of the oily skin?
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