Spending a week at the lake house in East Texas this summer, I ran into some older gentlemen whose lives revolve around bass fishing and boating on the lake. Everyone who spends a lot of time on the water shares a concern about exposure to the sun. When I enquired about application of sunscreen, none of them admitted to using sunscreen as a protection. They did not think that sunscreen is very effective with the amount of time they spend outside, sweating and in and out of the water. They all had stories of friends and family members with a history of skin cancers.
According to the American Cancer Society, between 800,000 and 1 million new cases of skin cancer will be diagnosed in the United States, and 80 percent are directly related to sun exposure. UVA and UVB radiation from the sun penetrates the outer layer of skin and cause damage to the collagen beneath. It can change cellular DNA, potentially causing it to mutate into cancer cells. It is estimated that just two severe sunburns before the age of 18 can increase a person’s chance of developing skin cancer later in life. The sun also affects the chance of developing cataracts and there is an increased incidence of macular degeneration in adults.
Despite the lack of sunscreen these gentlemen did educate me on other things they do to protect against the sun. They wear long sleeved, hooded tee shirts, wide brimmed hats and bandanas over the nose. There is a host of new clothing products available that they told me about. For head protection there are buffs, a balaclava head covering of light material treated to block UVA and UVB rays that covers, face, ears and neck. There are gloves made of the same fabric to keep the backs of hands protected. Colorful shirts and pants are available in breathable, sun blocking fabrics. Also, sunglasses that prevent UVA and UVB radiation from passing through the lenses. A laundry additive, Sun Guard contains the sunscreen Tinosorb. When added to a detergent, it increase the UPF of the clothing, and this protection lasts through 20 washings.
For the outdoorsman a broad spectrum sunscreen which blocks both UVA and UVB radiation with an SPF of 50+ is recommended. There are some sunscreens that are water resistant and SPF is maintained after 80 minutes of water immersion and do need to be reapplied after sweating or toweling to dry off. For lips: lip-balm containing SPF 30 is recommended.
Reminding our elder fishing enthusiasts to protect themselves against the sun when outdoors with a good sunscreen that blocks UVA and UVB rays is good practice, but now we can add protective clothing to our recommendations. I will be stopping by the sports shop to pick up a few items before my next trip to the lake.
Our Guest Blogger this week is Bronia Michejenko, RN, MSN, GNP, BC.
Join us for a real-time discussion about questions raised by this essay on Tuesday from 12:00 p.m. to 12:45 p.m. See Discussion and SL tabs above for details. Link to the virtual meeting room: http://tinyurl.com/cjfx9ag.
References and Resources
- Sun Protection. Cancer Trends Progress Report – 2009/2010 Update. National Cancer Institute. http://progressreport.cancer.gov/doc_detail.asp?pid=1&did=2007&chid=71&coid=711&mid. Accessed September 13, 2012
- Preventing Skin Cancer: Education and Policy Approaches in Outdoor Recreational Settings. http://www.thecommunityguide.org/cancer/skin/education-policy/outdoorrecreation.html. Accessed September 12, 2013.
- Squamous Cell Carcinoma. American Academy of Dermatology. http://www.aad.org/skin-conditions/dermatology-a-to-z/squamous-cell-carcinoma. Accessed September 12, 2013.
October 1, 2013 at 1:00 pm
TRANSCRIPT – October 1, 2013 – From the Weekly Discussion on Aging held in Second Life
[10:00] Tim (tskillian): Hi Rodger.
[10:00] Rodger Markova: Hello Tim
[10:01] Rodger Markova: Today’s topic is sun screen
[10:02] Tim (tskillian): have to say, I am guilty. I don’t wear it as much as I should.
[10:02] Rodger Markova: Me too. I do have good intentions if I’m gonna be out in the sun for awhile but day-to-day, no
[10:03] Tim (tskillian): exactly right. I am much better on being vigilant with my kids, however.
[10:04] Rodger Markova: yes, that’s curious. I think we are more trained to be aware of things that might hurt our children
[10:05] Tim (tskillian): I agree completely. there is also more awareness in our culture of those kinds of things. One thing that frustrates me a little is my dad — and sometimes other older people — are almost antagonistic toward these kinds of wellness issues.
[10:07] Rodger Markova: Yes, I agree there are people who see such precautions as silly and of no account
[10:08] Tim (tskillian): It is true with my dad about sunscreen — he scoffs when we take time to put it on our kids — but, other things also. Like — no fries at McDonalds. 🙂
[10:09] Rodger Markova: It’s sort of the “it did not kill me and I’ve lived this long” syndrome
[10:09] Tim (tskillian): exactly right and almost word-for-word.
[10:09] Tim (tskillian): smoking also.
[10:09] Rodger Markova: My 99 year old aunt still smokes????
[10:10] Tim (tskillian): yes!! my dad knows people like that and never fails to use that as evidence that his own smoking is no problem. 🙂
[10:12] Tim (tskillian): It makes me wonder about health adoption behaviors in late life.
[10:12] Rodger Markova: Yes
[10:12] Rodger Markova: It was interesting to note in to blog that the older men did not like sunscreen but they were very current on sun blocking clothing. So I’d conclude that people adopt new ides that are somehow in step with their basic outlook
[10:13] Tim (tskillian): that is interesting. When I think about my dad and his antagonism, it is almost a masculinity thing.
[10:14] Tim (tskillian): but the sunscreen clothing is more than sunscreen, but it is fishing clothing. Cool pockets for holding fishing gear, very utilitarian, and very masculine.
[10:14] Rodger Markova: So maybe the most efficient clothes align with their belief system
[10:15] Tim (tskillian): kinda the Marlboro man syndrome expanded to include a wide variety of health behaviors.
[10:15] Tim (tskillian): James is looking at a controversial construct “quality of life.” in late life individuals.
[10:18] Rodger Markova: “Quality of life” is a complicated concept
[10:18] Tim (tskillian): some people say it can not be measured.
[10:19] Rodger Markova: I’ll bet it can be measured. It just may require a number of sources of information
[10:20] Tim (tskillian): It sort of lives at the intersection of quantifiable health conditions, mental health, and individualistic interpretations of those.
[10:20] Rodger Markova: Right yes
[10:21] Tim (tskillian): it is a new focus on MDS 3.0 that is required for all ltc facilities.
[10:21] Rodger Markova: Ah!
[10:21] Tim (tskillian): 🙂
[10:22] Tim (tskillian): yes — so he has some guidelines to pursue it, but it continues to be controversial. He is collecting data on ADLs, participation in recreation and leisure, and quality of life — among other things, but those are key variables in his study.
[10:24] Rodger Markova: There are several measures of Quality of Life
[10:24] Rodger Markova: Mostly self-report
[10:25] Tim (tskillian): yes — he is using the Healthy Days component that is being advocated by the CDC. There are 4 items to it if I remember correctly.
[10:25] Tim (tskillian): The self-report nature of the items are key to QofL.
[10:26] Rodger Markova: There is one called the Quality of Life Scale. I’ve used that before. See http://www.hqlo.com/content/1/1/60
[10:26] Tim (tskillian): Thanks . Two people may have the identical health problems and symptoms, but their self reports of their QofL can be very different.
[10:29] Rodger Markova: My (again) 99 year old mother-in-law is in an excellent nursing facility but has hated every moment. She would rate her QofL as lousy
[10:29] Tim (tskillian): hahaha
[10:29] Tim (tskillian): in contrast, my grandfather has recently moved to a veteran’s home and is thriving.
[10:29] Rodger Markova: Right
[10:28] Tim (tskillian): yes — I think James is hoping to be a recreation/leisure coordinator for ltc facilities and, in particular, work with veterans.
[10:30] Rodger Markova: That sounds like a great goal for James
[10:30] Tim (tskillian): He is working hard and will be starting interviews soon.
[10:30] Rodger Markova: Excellent
[10:31] Tim (tskillian): I need to go soon — have to prepare for a 1pm meeting.
[10:31] Rodger Markova: OK. We are sort of at a stopping point now
[10:31] Tim (tskillian): I appreciate you being here today and allowing me to bounce ideas off you.
[10:32] Rodger Markova: I’m happy to do so and I really like when people visit
[10:32] Tim (tskillian): I like the forum and will try to round up some more participation.
[10:32] Rodger Markova: Thank you.
[10:32] Tim (tskillian): Take care, Rodger. See you next week hopefully.
[10:32] Rodger Markova: We’ve had a good discussion, so I’ll post it on the blog. Is that OK?
[10:32] Tim (tskillian): No problem at all.
[10:32] Rodger Markova: Thanks